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Patients who I recommend be screened for MTHFR mutations: Mood disorders: depression, anxiety, irritability, mood swings, bipolar Infants and children of parents with MTHFR mutations Family members related to someone with MTHFR mutations Infertility and Pre-conception care: test both man and woman Elevated folate (not processing to active 5-MTHF due to inability to methylate) Elevated homocysteine (due to low active 5-MTHF and methylcobalamin) Elevated s-adenosylhomocysteine (due to low active 5-MTHF and methylcobalamin) Elevated serum cobalamin (due to inability to methylate cyanocobalamin to methylcobalamin) Elevated methylmalonic acid (due to methylcobalamin deficiency) Patients with syndromes: IBS, multiple chemical sensitivity, fibromyalgia, Down syndrome, chronic fatigue syndrome Neurological disorders: Multiple sclerosis, Autism, Alzheimers, Epilepsy, Parkinson's Cancer: family history of cancer or undergoing cancer treatment Cervical dysplasia Cardiovascular risk: family history of strokes, embolisms, heart attacks, clots, hypertension Birth defects: cleft palate, tetralogy of Fallot, spinal bifida, midline defects Drug sensitivities: methotrexate, anti-seizure meds, nitrous oxide, anesthesia If you are interested in knowing more about your genes, the 23andme gene test will be the best $99 investment you've ever spent

[26] [27] Ultimately, treatment decisions should be made collaboratively, based on current evidence, regulatory approvals, and individualised assessment of benefits and risks

Discard after use

Stop using Ozempic and call your healthcare provider immediately if you have severe stomach or abdomen pain that will not go away, with or without vomiting

time to permanent discontinuation of trial product