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The closest comparators are tesamorelin (a GHRH analog with FDA approval for HIV-related fat) and SS-31 (a separate mitochondrial peptide that targets cardiolipin rather than AMPK)

These are small, discreet, and widely available

Whilst B12 deficiency is well known to cause psychiatric symptoms including depression and cognitive impairment, concerns about whether adequate or elevated B12 levels might trigger anxiety require careful examination

Food folate sources to prioritize: dark leafy greens (spinach, kale, Swiss chard one cup of cooked spinach provides approximately 260mcg of folate), lentils (one cup cooked = approximately 358mcg), asparagus, avocado, beets, Brussels sprouts, broccoli, edamame

Athens Insomnia Scale: Validation of an instrument based on ICD-10 criteria