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Special considerations : For patients taking tirzepatide (Mounjaro, Zepbound), note that it may reduce the effectiveness of oral contraceptives during initiation and dose escalation

Sulfur : Molybdenum 150 mcg twice daily (start lower and work up to), Hydroxocobalamin lozenge 2000 mg 1x/day, Calcium DGlucarate, Liquid trace minerals, and Magnesium

Regular intake may assist in complementing dietary antioxidant intake

300 The dropout rate was high (71.4%) due largely to the development of severe anemia, but the authors called for larger prospective, controlled clinical trials using combination therapy

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