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If you've confirmed your B12 levels are adequate and you're still fatigued, it's time to widen the investigation

3.3 Soluble uric acids organ-specific effects on metabolic dysfunction 3.3.1 Soluble uric acid-induced endothelial dysfunction and cardiovascular remodeling ( Figure 3 ) Figure 3 Persistently elevated SUA in the heart can act as a damage-associated molecular pattern under pathological conditions, recognized by Toll-like receptors (such as TLR4) on the surface of cardiomyocytes and immune cells

What should be your initial management approach

Tissue remodeling supporting the breakdown and rebuilding of healthy tissue during recovery*

Take 2 capsules daily to help build back these levels over time