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A randomized, double-blind, placebo-controlled trial in 153 older adults taking the antidepressant citalopram found daily supplementation with 500 g vitamin B 12 , 2 mg of folic acid, and 25 mg of vitamin B6 for one year did not reduce the severity of depressive symptoms but increased the response to drug treatment and helped to prevent symptom relapse (112), suggesting B-vitamin supplementation might provide some benefit as an adjunct therapy

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It is also a valuable option to consider in selected gut-health protocols, especially when the goal is mucosal support and inflammation reduction

Indication specific labs are ordered when a clinical question requires them, for example IGF-1 before a growth hormone secretagogue, a metabolic panel before a fat loss peptide, or thyroid markers when symptoms suggest it

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