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Week four and beyond: Continue increasing by 50 mcg per week until reaching your target dose or until side effects become bothersome

The appetite suppression breaks the cycle of restriction followed by rebound overeating

The researchers theorize that an infection mimicry state could be a cause of fibromyalgia and ME/CFS.[ref] A 2025 study from the University of East Anglia and Oxford BioDynamics showed that a blood test, called EpiSwitch, was fairly accurate for diagnosing ME/CFS

L-carnitine helps the body convert fat into useable energy

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Stool can accumulate in the colon, leading to: Persistent bloating Abdominal pressure Feeling backed up Reduced bowel movement frequency This is often when people come to us feeling uncomfortable, frustrated, and unsure what else to try