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The main reason for using subcutaneous epithalon over a nasal spray is bioavailability

Dietary copper in the physiology of the microcirculation

This benefit is particularly relevant if youre regularly exposed to pollution, alcohol, stress, and poor sleep, all of which can increase oxidative stress and place additional demands on the liver

doi: 10.1002/anr3.12278

At minimum, take vitamin D3 (2,000-4,000 IU), vitamin B12 (500-1,000 mcg), magnesium (200-400 mg), protein supplement (to reach 1.2-2.0 g/kg daily), and fiber (10-15 grams)

Its best to contact your healthcare provider to check if they have a take-back program