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Clinical tip: Epithalon is always a standalone protocol

It is commercially available as salt in its mononitrate HCl (also natural byproduct) and relatively inaccessible semi lipid soluble form S-acyl derivative benfotiamine and truly lipid soluble thiamine disulphide derivatives sulbutiamine and fursultiamine

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Cell 165 (1), 111124

Thiamin deficiency is also observed as a complication of the refeeding syndrome: the introduction of carbohydrates in severely starved individuals leads to an increased demand for thiamin in glycolysis and the citric acid cycle that precipitates thiamin deficiency (27)

These macrophages can then travel locally (and occasionally distantly) via the bloodstream to be deposited elsewhere in the skin