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There are many different types of anemias with different causes

For a patient with a highly sensitized immune system or a CIRS diagnosis, achieving a very low HERTSMI-2 score is critical before they can safely occupy a space without triggering a severe inflammatory relapse

Delivery vehicles (liposomes, nanoparticles, microneedling) are used specifically to overcome this barrier

Adequate protein intake, resistance training, and proper supplementation during treatment all contribute to maintaining lean mass

Another study published in 2020 found that 600 milligrams of ALA given orally for four months significantly reduced these same inflammatory markers

[9] Additionally, high doses of niacin can even be dangerous, leading to liver toxicity or severe flushing