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In functional medicine, adrenal fatigue is approached holistically, focusing on stress reduction, dietary changes, and supplementation, and lifestyle modifications to support adrenal health and overall well-being

4 Aside from those with genetic methylation defects in the metabolism of vitamin B12 and folic acid, our patients have excellent results with a sublingual vitamin B12 that dissolves slowly under the tongue

Those with the highest needs for B12 supplementation are vegetarians, vegans, pregnant women and adults aged 65+

CoQ10 is primarily eliminated via bile and faeces rather than through the kidneys, so it does not appear to accumulate to toxic levels in kidney disease, though data in severe CKD are limited