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doi: 10.1210/jc.2014-3670 57 HoffmannAAdelmannSLohleKClaviezAMllerHL

DSIP is not a substitute for healthy sleep hygiene addressing sleep environment, limiting caffeine/blue light, managing stress, and maintaining a stable schedule are still foundational

Adults over 50, vegetarians, and people taking metformin face higher B12 deficiency risks and should request testing during any anxiety evaluation
Some effects appear within days, while long-term benefits take weeks

After that, 10 studies were excluded (they did not meet our inclusion criteria, and two not full text)
