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pre- and post-operative treatment, when requirements are increased as in fever, severe burns, increased metabolism, pregnancy, gastrointestinal disorders interfering with intake or absorption of vitamins, prolonged or wasting diseases, alcoholism and where other deficiencies exist

Stacking them addresses both substrate metabolism and cofactor availability

If levels are low, you may feel: This is a serious sign and should not be ignored

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I would HIGHLY suggest you go to her if you want someone that knows and cares about what they are doing