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Key Takeaways MIC B12 injections provide lipotropic cofactors (methionine, inositol, choline) that support hepatic fat metabolism, not direct fat burning in adipose tissue

We also cover the STOMP trial (do statins actually impair strength gains?), the SAMSON trial (how much of statin intolerance is nocebo?), the difference between myalgia, myositis, and rhabdomyolysis, Austins clinical approach to a patient whose strength is declining on a statin, and the treatment escalation pathway for statin-intolerant patients including bempedoic acid, PCSK9 inhibitors, and inclisiran

Finally, the altered microbiome can change the bile acid pool by the conversion of primary to secondary bile acids

These tests can be added directly to your assessment on the payment page

Your doctor will help you map out realistic goals that make sense for you

It serves as a substrate for three enzyme classes: NAD+ glycohydrolases (including CD38, CD157, and SARM1), sirtuins, and poly(ADP-ribose) polymerases (PARPs)