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L-Carnitine handles this transport step, shuttling fatty acids across the mitochondrial membrane so they can undergo beta-oxidation and generate usable energy

Blood tests that only measure the amount of vitamin B12 in your blood that is "active" are not yet widely available

alternatives include SGLT2 inhibitors, DPP-4 inhibitors, insulin, or specialist allergy assessment for switching agents

Some use a monthly membership model, which includes medication and doctor support

[ Editor's note: After MH went to press, Jelly clarified that he did briefly try weight-loss meds very early on his journey, but stopped after two weeks.] We talked for several hours at intervals over the course of this year about how he was doing it, and how he did it