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Injections offer nearly 100% bioavailability, sending the vitamins directly where they are needed

Include electrolytes (sodium, potassium, magnesium) if you are eating significantly less than usual, as reduced food intake also means reduced electrolyte intake

The body needs vitamin B12 to metabolize proteins and fats properly and to turn carbs into glucose, which is used as fuel

Shoulder - make a downward-facing triangle over the deltoid muscle on the upper arm with the thumb and forefinger of the non-injection hand

Options for managing tolerance include a brief dose reduction for 4 to 8 weeks ("drug holiday" at a lower dose, not complete cessation), lifestyle optimization to maximize the medication effect, evaluation for other contributing factors (thyroid function, cortisol, sleep quality, medication interactions), and consideration of adding a complementary compound to address specific aspects of the plateau