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Laboratory results included a normal thyroid-stimulating hormone level, normal hemoglobin A1c, and negative syphilis serology

Side Effects: While rare, side effects from the lipotropic components can occur, including gastrointestinal discomfort, fatigue, and allergic reactions

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Subcutaneous administration of vitamin B12 is sometimes employed, especially in patients with congenital cobalamin metabolism disorders who require high doses to maintain normal metabolic pathways

While ketamine provides immediate relief from the neuropathic pain and depressive symptoms common in fibromyalgia patients, CBT equips them with long-term tools to manage stress, anxiety, and pain, fostering a more resilient mindset