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We see a higher incidence of osteoporosis

Many patients notice energy improvements within 48 weeks, showing a noticeable shift

Add 5 grams of fiber per day each week until you reach 25 to 35 grams
These patients may benefit from a slower titration (holding at an intermediate dose for 8 weeks instead of 4) or a reduced maintenance dose of 1.7 mg, which is permitted under the FDA label [4]
For example, if you feel tired or experience mental fog, you might be low on B12
