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Sometimes B vitamins can interact with medications, so your doctor may not recommend that you take them

Anastrozole is a commonly prescribed medication used to manage estrogen levels in individuals undergoing hormone therapy, including those on testosterone replacement therapy

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This severe metabolic inflexibility directly contributes to the debilitating phenomenon of post-exertional malaise (PEM), where patients experience a massive, multi-day crash in symptoms following minor physical or cognitive exertion, effectively trapping them in a cycle of energy debt