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Add reconstitution solvent slowly and directly onto the lyophilised powder, not against the vial wall

I recommend consuming foods rich in B vitamins, including liver, meat, seafood, poultry, leafy greens, and seeds

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This does not mean complete abstinence is required, but regular alcohol consumption will substantially reduce protocol effectiveness

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116,238,239 High-dose intravenous (IV) steroids may also be useful in patients who do not respond to conventional treatment