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Healthcare professionals should approach disclosures of combined peptide use with a non-judgemental but clinically thorough assessment, and provide harm-minimisation advice where appropriate

In the bloodstream, acetylcarnitine concentrations are different in fed and fasted states, and accordingly acetylcarnitine availability is related to fatty acid load and metabolic rate, which is much higher in the fasted state

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Ask yourself: Do you often feel tired or mentally foggy? Are you a vegetarian/vegan? Do you have absorption issues or anemia? Are you over 50? If you answered yes to any of these, its worth checking your B12 levels

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