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Observational studies, case reports, and indirect mechanistic data generate compelling hypotheses but fall short of demonstrating causality or consistent clinical benefit in AITD

Include weekly weights, monthly measurements, any side effects and their severity, and notes on eating habits and activity levels

Anemia follows this worsening, proceeding from iron-deficient microcytic phenotype to vitamin B 12 deficiency-associated macrocytic anemia (pernicious anemia) (65, 66)

Contact your GP urgently if you experience signs of dehydration, urinary tract infection, significantly reduced urine output, or symptoms of diabetic ketoacidosis

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Training quality drops
