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If you supplement biotin, stop it at least 48-72 hours before any thyroid labs to avoid misdiagnosis

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This depends on your medical circumstances and your healthcare provider's assessment

Some of the most promising ways to reduce brain fog in ME/CFS, fibromyalgia, and long COVID / PASC include: improving gut microbial balance and reducing ammonia-producing organisms supporting ammonia clearance using ketones to help regulate glutamate and brain energy metabolism using acetyl-L-carnitine (ALCAR) to support mitochondrial function and reduce ammonia burden These strategies are not interchangeable, and not everyone will need all of them