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Eating, and especially eating carbohydrates, raises insulin, and elevated insulin suppresses the very GH pulse the protocol is trying to create

All protocols require informed consent, medical oversight, and realistic expectations about potential outcomes

It is important in the glucose metabolism, protects the mitochondria from oxidative stress and glycation, and altered glomerular function, as well as modifying the inflammatory response pathway and activation of the polyol pathway (a part of intracellular signalling and metabolism) and currently prescribed Somac therefore advisable to check status

Suspected adverse reactions can be reported through the MHRA Yellow Card Scheme