This is a well-documented problem in insulin therapy
These combined effects reduce tissue swelling, oxidative damage, and cell apoptosis, supporting models of inflammation recovery, joint repair, and chronic pain modulation
Supplementation, particularly with a liposomal delivery system, is a more direct way to ensure your cells have an adequate supply.
If it does not improve, your provider can evaluate a slight dose reduction, advise reducing caffeine and other stimulants, or discuss alternative appetite suppressants such as Tenuate or Phendimetrazine, which work through different mechanisms and tend to cause less sleep disruption
Both PCFT and RFC are highly specific for the monoglutamate forms of the folates