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Ultimately, if a provider refuses to acknowledge the potential environmental triggers of your illness or dismisses your lived experience, it may be necessary to seek a second opinion

Shaito et al

, 16 , 1303-1314, doi: Nishizawa, S., Araki, H., Ishikawa, Y., Kitazawa, S., Hata, A., Soga, T., and Hara, T

Interaction with Medications: Potential interactions with other drugs have not been systematically studied

Treatment should start urgently and should not be delayed for laboratory confirmation if neurological features strongly suggest B12 deficiency

MLM received lecture or consultancy fees from Amarin, Amgen, AstraZeneca, Eli Lilly, MSD, Novo Nordisk, SlaPharma, and Servier