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Medica has denied me for this and is requiring a 3 month dietary restriction to be approved

Possible adverse effects may include: Injection site reactions : Redness, swelling, irritation, or discomfort Gastrointestinal symptoms : Nausea, vomiting, stomach cramps, or diarrhea Headaches or dizziness Allergic reactions : Rash, itching, shortness of breath, or facial swelling (rare) Increased heart rate or anxiety (typically temporary from B-vitamins) Fatigue or weakness if used improperly Elevated liver enzymes when taken in excess particularly with methionine or choline Insomnia if taken late in the day due to increased energy levels Who should avoid or use caution

10.1016/j.bcp.2007.09.008 4 ChenJ.ZhangJ.TianW.GeC.SuY.LiJ.et al (2023)

Interestingly, the Nrf2-mediated antioxidant response pathway is highly activated in FH-mutant cells (Ooi et al., 2011)