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If supplementation is responsible, your doctor may recommend reducing or stopping non-essential B12 intake, with repeat testing after an appropriate interval (typically 2-3 months, or longer if you've had recent injections or have kidney disease)
Meditation, adequate recovery, and stress reduction support metabolic optimization
Ongoing research seeks to better understand its role in NAD
B-100 complex can interfere with other medicines including but not limited to: levodopa, medicines containing oestrogen, hydrazine, certain anti epileptic drugs, phenobaritone, phenytoin, immunosuppressants and some drugs used to treat infections such as isoniazid, pyrazinamide, cycloserne and penicillamine
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Conservative dosing, interval monitoring, clear stopping criteria, and documentation rigorous enough that the data contributes to the evidence base rather than just adding another anecdote
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