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Statement of Human and Animal Rights: All procedures in this study were conducted in accordance with The Medical Ethics Committee of Kaohsiung Veterans General Hospital approved protocols

e.g., doses of 3 60-90 g/kg yielded both elevated mean and trough GH without loss of pulse height

Stay Hydrated: Drink a full glass of water with the capsules to help in digestion and absorption

Seek emergency medical attention (call 999) if you experience: Difficulty breathing or swallowing Swelling of the face, lips, tongue, or throat Widespread rash or hives developing rapidly Severe dizziness or feeling faint Chest tightness or wheezing Anaphylaxis to hydroxocobalamin is uncommon but documented in the product information

This integrated approach would offer new opportunities to investigate the potential role of particulate metals in modulating the metallome, and their contribution to exposure-related health outcomes in affected subjects

Interpretation The findings suggest that IVMT may provide real symptom relief, but due to the high placebo response, small sample size, and lack of between-group statistical significance, the efficacy relative to placebo remains uncertain