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A transparent explanation of evidence limitations and surgical risk priorities is more likely to preserve trust and compliance than confrontational dismissal

Studies in animal models have shown it may help protect and repair the lining of the stomach and intestines, with research exploring its effects on gastric ulcers, inflammatory bowel conditions, and intestinal tissue damage

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Drop back to the previous dose and attempt escalation again after an additional 2-4 weeks

Finally, it keeps homocysteine from getting too high and causing cardiac issues