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Reaching behind your back should be avoided initially as this puts the maximum amount of stress on the biceps tendon

For sustainable results, it should be integrated into a balanced plan that includes proper nutrition, exercise, and stress management

Hasselbach L, Haase S, Fischer D, Kolberg HC, Sturzbecher HW

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Your body needs it for: forming red blood cells and carrying oxygen to tissues, maintaining nerve-cell integrity including the myelin sheath, converting food into usable energy in your cells

Phase 2 trial (NEJM 2023) used a structured ramp to 12 mg/week but at trial doses of 8 mg and 12 mg, dropout from gastrointestinal events was substantial