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The serotonin-norepinephrine reuptake inhibitors (SNRIs) duloxetine and milnacipran, which are the other two medications FDA-approved for fibromyalgia, are recommended by all clinical guidelines

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I outline my tried and tested protocols for doing all of the above in my book Hashimotos Protocol , and you can read more about the importance of finding your root cause in my article

Suggested Use: Take 2 capsules daily with 8-16 ounces of water, preferably after meals, to maximize absorption and efficacy

Elevated Akkermansia levels have also been observed in patients with Parkinson disease and multiple sclerosis, though whether this represents cause, effect, or mere correlation remains unclear