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Patients should maintain realistic expectations: complete absence of any gastrointestinal awareness is uncommon, but debilitating nausea should not be considered normal or acceptable
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For patients with persistent vomiting, targeted thiamine supplementation (50-100 mg daily) may be appropriate under medical supervision rather than high-dose B-complex formulations
Glutathione helps fight oxidative stress, which is one of the main causes of premature aging
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