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Narayan P et al
Coenzyme Q10 (CoQ10) is a powerful antioxidant naturally produced in the body, but levels decline with age, stress, and certain medicationsespecially statins
If binge persists: consider lisdexamfetamine (FDA-approved for binge eating) with cardiovascular/psychiatric screening (Shafiee et al., 2023) Phase 3: Consolidation and Skill Building Nutrition skills : meal structuring, grocery planning, protein-fiber pairing, craving scripts, evening rituals Movement portfolio : micro-bouts (510 minutes) across the day
They may arrange blood tests to evaluate: Inflammatory markers (ESR, CRP) to detect active inflammation Rheumatoid factor and anti-CCP antibodies if inflammatory arthritis is suspected Full blood count to assess haematological response to B12 treatment Thyroid function tests , as thyroid disorders commonly coexist with B12 deficiency Note that serum B12 levels are not typically measured to assess treatment adequacy once replacement therapy has begun, as they may not reliably reflect tissue stores
