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For lean or sensitive patients, the goal is often anti-inflammatory and neuromodulatory effects rather than weight reduction

Acute dilatory and negative inotropic effects of homocysteine are inhibited by an adenosine blocker

(5.3) Interstitial Pneumonitis: Withhold for acute onset of new or progressive unexplained pulmonary symptoms

[DOI] [PubMed] [Google Scholar] 42.van de Donk N, et al

As the effects wear off, patients may choose to return for additional nutrient cocktails usually about once per month.