Like other peptide drugs, it is highly susceptible to degradation by digestive enzymes in the gastrointestinal tract
Thank you all for your kind words I finally got to speak with a locum GP today, the GP that ordered the blood tests, didn't order a B12 serum after saying he would, so I'll not know if the vials were deteriorating
If diarrhea is severe, ask your PlexusDx provider whether spacing out your dose progressionstaying at a lower tier longer before advancingcould help your system adapt more gradually
N Engl J Med 349: 17381749
therefore, SSRIs in general and fluoxetine in particular should be used with caution (Sjaarda et al., 2020)
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