Solution: Rely on reputable compounding pharmacies or clinics known for stringent quality standards and third-party testing
Best for very small doses and low concentrations
It also means the drowsiness effect will hit you during your waking hours, which most patients find disruptive
doi: 10.1039/C8MD00342D 177 TinS.SakharkarK
1 Several antidepressant medications are known to increase systemic levels of serotonin, including monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), some opioids, antihistamines, serotonin-releasing illicit drugs, and over-the-counter herbal medications 1 (Figure 1)
What is vitamin B12 and where do you get it