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If 2.4 mg is not tolerated, the documented fallback is to hold at the highest tolerated step (commonly 1.7 mg) rather than push through severe GI effects

During acute illness, direct consequences of viral reactivation or infection are thought to occur in localised areas such as the brain and neuronal cells, muscle cells, and cardiac myocytes [Extended Figure 8 in (127)]

Eroglu, H., Senel, O., and Guzel, N

They are prescription-only medicines and are used to treat type-2 diabetes and, in some cases, weight management under medical supervision

However, responses can vary, studies are mixed, and arginine can interact with certain cardiovascular medications