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(eds.) Cochrane Handbook for Systematic Reviews of Interventions version 6.4 (updated August 2023)

Long-term safety data for this use remains limited, so working with a qualified provider is essential for anyone pursuing this goal

However, if your provider sees a red flag in your intake, like possible thyroid issues, elevated blood sugar, or a history of liver disease, you may be asked to complete lab work before starting medication

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It affects nerve cells in the brain and spinal cord

If youve been struggling with fatigue, mood issues, infertility, anxiety or unexplained health challenges, looking into your methylation and folate status could be key