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Additionally, dysfunctional energy metabolism (52, 184186) along with oxidative stress (187, 188) are also hypothesised in the development of ME/CFS

Liver Function: Tigecycline can affect liver function, so it should be used with caution in individuals with pre-existing liver conditions

Understanding your genetic context for B vitamin metabolism can support a more informed conversation with your provider about whether to pursue MIC B12 therapy, optimal injection frequency, and whether proper refrigeration and consistent dosing will address your specific metabolic needs

I will use nothing else because of the results