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It exists in two forms: reduced (active) and oxidized
The clinical effect is identical because the molecule is identical but there is an important regulatory difference
doi:10.1016/j.jss.2009.05.047 Husain Mansoor, Birkenfeld Andreas L., Donsmark Morten, et al
for instance, more energizing varieties like Cordyceps mushroom might cause agitation or sleep disturbances if taken late in the day, while Reishi could lead to drowsiness
If not recently tested, we may order a blood test to confirm low B12 levels
Giving more time between the two medicines can help people handle them better
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