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Common Side Effects Morning grogginess (10 to 15% of users at 200+ mcg): Usually resolves within 20 to 30 minutes of waking
Dehydration or gastrointestinal side effects Nausea, vomiting or decreased thirst can sometimes lead to mild dehydration
For most people, the first signs are noticeable between one and three months
Figure 2 ME/CFS severity classifications The long-term outlook for ME/CFS patients varies significantly (35), and some forms of cancer (35)
While these mechanisms are common, they do not affect everyone equally
For patients with elevated homocysteine, a full methylation support strategy may prove more effective than single-nutrient therapy
