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We dont know whether the participants were B12 deficient and were being made B12 replete, or whether they were B12 replete to start with and this was additional B12, which would be important to know if you did think that this were an effective therapy. Dr Whittle said there were some effective pharmacotherapies for fibromyalgia such as duloxetine or pregabalin

If anxiety and poor sleep are concerns, you may also find that other supplements, such as CBD oil , are worth considering

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Since peptides are very potent at low doses, even small mistakes can have big effects

PPIs, like omeprazole, can lower stomach acid