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I do like lactoferrin as a starting point, though some people may need iron infusions to replenish depleted stores

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Current evidence supports continuous use for 812 weeks followed by a 4-week washout period to assess sustained metabolic improvements and prevent receptor downregulation

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However, your doctor may suggest stepping down from 14 mg to 7 mg for a period before complete cessation, particularly if this helps with transition planning or allows time to initiate alternative therapies

While ketone bodies are physiologic molecules, their high levels reduce the physiological pH of the blood and induce ketoacidosis, leading to increasing metabolic dysfunction