Clinical Benefits: Supports cellular energy production via the Krebs cycle and mitochondrial function Assists in the metabolism of carbohydrates, fats, and proteins Supports peripheral and central nervous system function Provides antioxidant protection against oxidative stress Supports immune function and recovery from illness May help address fatigue, low mood, and cognitive difficulties This combination is often recommended as part of a broader treatment plan for patients with chronic fatigue, nutritional deficiencies, or those who are not responding adequately to oral supplementation alone
1,2,6 Symptoms typically include being easily fatigued with exertion, palpitations, and skin pallor
However, the symptoms can vary significantly over time, and most patients can be managed effectively with physical therapy, anti-inflammatory medication, and epidural injections without ever needing surgery
That augmenting the growth hormone pathway would be useful
It has been approved in over 35 countries for hepatitis B and as an immune adjuvant