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"(r)-, but not (s)-alpha lipoic acid stimulates deficient brain pyruvate dehydrogenase complex in vascular dementia, but not in Alzheimer dementia"

Work with Boulder Holistic Functional Medicine If you suspect histamine intolerance or MCAS, consider working with Boulder Holistic Functional Medicine to identify triggers, test for imbalances, and develop a personalized treatment plan

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If weight loss has plateaued at 2.4mg, a provider may evaluate whether a medication switch (e.g., to tirzepatide), dietary adjustment, or other intervention is appropriate rather than increasing the dose further