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Seek urgent same-day assessment or call 999 for emergency care if experiencing: Severe chest pain Severe shortness of breath Fainting or collapse Acute or rapidly worsening neurological deficits (such as new limb weakness, sudden gait disturbance, or bladder/bowel dysfunction) Persistent or worsening anaemia symptoms despite treatmentincluding breathlessness, chest discomfort, palpitations, or extreme fatigueshould trigger medical review
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However, if you have a sensitive stomach, taking it with a small amount of healthy fatlike a slice of avocado or a few walnutscan help
Vilstrup 1980
Typical research doses of 250-500 mcg translate to 10-20 units, right in the practical sweet spot
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