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For many patients, evidence-based approaches such as cognitive behavioral therapy for insomnia, circadian rhythm support, medication review, sleep apnea screening, mental health treatment, and lifestyle changes may be more appropriate than experimental peptide therapy

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So I will say just three more things, two of which are touched on above: B12 is stored in the liver for when we need it and normal dietary intake does not need to be high, but if you cant absorb it you do need injections

Cancer 8 , e000967 (2020)