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Cholinergic signaling might also be enhanced by other mechanisms
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
Bulletin of Experimental Biology and Medicine , 161 (1), 175178
The key is limiting total alcohol volume (one drink per week in early therapy), eating food first, and hydrating aggressively
Your titration, your protein intake, your resistance training, your maintenance plan, your decision about what dose to stay at: those determine whether the result sticks
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