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The two dont have to be mutually exclusive, but any peptide therapy in this context needs to account for the full hormonal picture, thyroid, cortisol, estrogen, not just body weight

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Keeping a journal of your experiences can be a helpful way to identify patterns and to monitor when the positive effects consistently begin to manifest

StatPearls notes that high-dose oral B has been shown effective for maintenance, but recommendations are to always use the parenteral route in severe neurological manifestations