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If youre struggling with your sex drive, a safe first step is to have a conversation with a clinician (like one at Midi), so you can get a diagnosis, symptom evaluation, and personalized treatment

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In a randomized, double-blind, placebo-controlled trial in 2,919 participants (65 years) with elevated blood concentrations of homocysteine, supplementation with vitamin B 12 (500 g/day) and folic acid (400 g/day) for two years did not decrease the risk of osteoporotic fracture despite reductions in homocysteine (120, 121)

Esmaillzadeh A, Tahbaz F, Gaieni I, Alavi-Majd H, Azadbakht L

If you have moved up too quickly and side effects are significant, your clinician may recommend stepping back to the previous dose temporarily and titrating more slowly

Its not just managing symptomsits helping reverse the damage