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Post-Exertional Malaise (PEM): By activating AMPK and stimulating mitochondrial biogenesis, ALA helps increase the body's overall cellular energy capacity, potentially raising the threshold at which physical or cognitive exertion triggers a severe energy crash

Always use with caution

Injection site reactions (mild redness, transient swelling) are the most common, typically resolving within 24 hours

26 If the B 12 is normal (rare probability of B 12 deficiency see Table 3: B 12 Medication Table ), a repeat investigation is not required in the absence of new signs of disease

This inquiry is particularly relevant as we increasingly strive for holistic approaches to wellness