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Community sources generally describe combining two GHRH analogs as redundant rather than synergistic both act on the same GHRH receptor, so a second analog adds little once an adequate dose of one saturates the response

Cool compresses provide temporary relief during the worst of the flare

But they're not a standalone solution, and any protocol marketed as such is misleading

However, do not discontinue prescribed B12 treatment without medical advice, particularly if you have pernicious anaemia or confirmed deficiency, as untreated B12 deficiency can lead to irreversible neurological damage