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Persistent or severe side effects warrant immediate cessation and re-evaluation of the protocol and peptide source

Shed tried nicotine patches

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Based on the discussed results, antioxidants such as vitamins E and C, lipoic acid, and selenium have hypoglycemic effects, however, supplementation of patients with these vitamins did not bring the desired effect

Advice is available for management of laryngopharyngeal reflux (Krause et al, 2022), and if neurogenic chronic cough seems likely, referral for neuromodulators (opioids with or without cough suppressants), voice therapy, superior laryngeal nerve block or laryngeal botox can be considered (Wamkpah et al, 2022)