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If you want to record appts probably best to put request in writing to GP surgery a week or so before appt and include reasons why you need to record eg symptoms such as brainfog, poor concentration, poor hearing/tinnitus, memory problems, fatigue

Its also possible that a crash follows the initial boost of energy as the body adjusts to the sudden influx of B12

Tesofensine side effects can include dry mouth, difficulty sleeping, anxious feelings, increased blood pressure, and serotonin syndrome (if combined with antidepressant medication.) Who should NOT use Tesofensine

Comprehensive safety studies spanning six months in rats (up to 100 mg/kg/day) and nine months in cynomolgus monkeys (up to 50 mg/kg/day) revealed no adverse findings, with NOAEL reaching the highest applied dosages

During your consultation, I will recommend a schedule based on your health profile and adjust over time as your body responds