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Escalate: Increase by 2.5 mg every 4 weeks as tolerated
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Future trials should also measure important outcomes such as the clinical signs and symptoms of vitamin B12 deficiency, health related-quality of life, socioeconomic effects, and report adverse events adequately, preferably in a primary care setting
Some patients run BPC-157, a GLP-1 medication, and additional peptides (such as TB-500 for enhanced tissue repair)
For patients already on venlafaxine at doses 150 mg/day (where NET inhibition becomes clinically relevant), adding an uncharacterized vasopressive modulator creates a monitoring burden that cannot be managed without serial blood pressure measurement
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