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Since the more mildly-affected participants often responded well to cofactor therapy alone, and that the side effects of the cofactors are generally much less than that of the medications [5 and author's experience], a trial of cofactor and dietary therapy alone may be warranted in most CVS patients encountered in clinical practice, with amitripyline or cyproheptidine added in refractory cases

With consistent use, they are designed to deliver clinically validated results within 8 to 12 weeks

Finally, properly dispose of your needle (you can request a syringe disposal box from your pharmacist)