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This is both good news (no withdrawal concerns) and a reflection of the modest magnitude of effects compared to prescription therapies
Thiamine Pyrophosphate Functions TPP is necessary as a cofactor for three critical dehydrogenases
I would first obtain a detailed patient history, blood work, echocardiogram, and medication reconciliation to identify more common causes of palpitations/arrhythmias. Additionally, making some lifestyle changes may be helpful in this situation
Presented for research literature review only Wang YX et al
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