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This is congruent with reports of hyperdopaminergic states during manic episodes.46 Furthermore, links between oxidative status and duration of illness have also been found.78 A double-blind, randomized, placebo-controlled trial of NAC in 75 participants with bipolar disorder was conducted.44 This 6-month trial involved the addition of 2000 mg/d of NAC or placebo to treatment as usual

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Some compounding pharmacies even offer tirzepatide pre-mixed with B12