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3 Most patients find these manageable and temporary, but you should discuss your medical history with your healthcare provider

MELAS is not the result of a single gene defect and as such represents a constellation of related disorders that can result from defects in several of the mitochondrial genome encoded proteins of complex I

Bloating Feeling extra gassy and bloated.without a clear food cause can be confusing

We notice fatigue less often with patients who are microdosing smaller amounts of the medication or using a slower titration schedule to step up the dosage more gradually

Significant weight lossparticularly reduction of visceral adipose tissuecan improve insulin sensitivity and reduce chronic low-grade inflammation, both of which affect the hypothalamic-pituitary-gonadal axis

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