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always adjust per physician judgment and patient tolerance.) You may pause escalation or even reduce dose if side effects become limiting (nausea, vomiting, GI distress)

Dragging through the day even after a full nights sleep

Some people find cottage cheese's texture easier to handle than solid foods when nausea is present

10.1016/j.ensci.2018.05.001 Neurol

Weekly or twice-weekly dosing saturates methylation pathways adequately without the injection site trauma and cost associated with daily administration