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165 However, in a study with 71 participants, 1.5 grams of dong quai extract three times daily had no effect on hot flashes or other menopausal symptoms compared with placebo after 24 weeks

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Gastrointestinal side effects are the primary clinical concern: nausea (44%), diarrhea (30%), vomiting (24%), and constipation (24%) are common, particularly during dose escalation

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This treatment is commonly considered for men who: Experience persistent fatigue or low energy Have difficulty absorbing B12 from oral supplements Want support for nerve and metabolic function Are seeking clinician-guided nutrient optimization Men receiving care at our Longview location undergo a personalized evaluation to ensure Vitamin B12 injections align with their individual wellness goals