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Note the dose, time of administration, diet, exercise, stress levels, and subjective sleep quality, including time to fall asleep and any nighttime awakenings

Stress and sleep optimization Chronic stress and poor sleep are both potent inflammatory stimuli that lower the flare threshold for autoimmune patients

Because intramuscular B12 is absorbed more slowly over a longer time frame than intravenous delivery, each shot offers a sustained elevation in serum levels between appointments

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Confirmatory GC-MS testing would resolve any ambiguous preliminary result

However, long-term use of antibiotics may lead to the emergence of drug-resistant strains and the depletion of beneficial bacteria