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It is not appropriate during pregnancy or breastfeeding, in active cancer, or in patients with severely uncontrolled metabolic disease without specialist coordination

If you constantly feel tired no matter how much you sleep, thats a major red flag

Similarly, effects on children and adolescents are unknown, and use in these populations cannot be recommended

Better metabolic efficiency: Some patients report favorable body composition shifts over multiple cycles, especially when combined with consistent training and nutrition

Monitoring, Labs, and Outcome Tracking Baseline labs typically include serum B12, methylmalonic acid (MMA), and homocysteine

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