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The dosage starts at 2.5 mg once a week and is increased by 2.5 mg every four weeks, up to a maximum dose of 15 mg once weekly

664,665 In another randomized placebo-controlled trial in 60 people with coronary artery disease, 300 mg magnesium sulfate for three months lowered gene expression and blood levels of two out of five inflammatory cytokines measured

When B12 is added to the plan, it supports metabolic activity and nutrient absorption, complementing the appetite-suppressing effects with more efficient energy use

Alpha-lipoic acid may interact with other medicines and supplements

If diet is a factor, adjusting what you eat alongside treatment helps maintain stable levels

Side effects are rare but may include mild injection site irritation, dizziness, or temporary flushing