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High dose oral cobalamin would be a reasonable alternative as maintenance in patients unable to tolerate intramuscular injections provided there is good compliance with treatment

Heile M et al

Myth 2: Ashwagandha Is Only for Stress Relief Fact: It Offers Multiple Potential Wellness Benefits Although ashwagandha is widely known for helping manage stress, its benefits may extend beyond relaxation

If the irritation around the spot where you inject your GLP-1 does not improve with time, talk to the doctor who prescribed the drug for injection tips

Think about the example mentioned earlier relating to autism and carnitine deficiencies: the outcome of something like a gut infection or antibiotic use, can alter intestinal bacterial populations (in this case, increased propionic acid causing a carnitine deficiency)