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Titration: There is generally no need for upward titration with B-complex vitamins as one might do with certain drugs, but if a patient is frail or known to react to injections, the provider may choose to start at a lower dose (for example 0.25-0.5 mL) and then increase to 1 mL as tolerated
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Ideal candidates is anyone with body mass index (BMI) above 30 or with a BMI over 27 and at least one weight-related comorbidity, such as type 2 diabetes, hypertension, or sleep apnea
This makes it an important nutrient for athletes and fitness enthusiasts who want to maximize their performance
PH stability is another overlooked variable
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