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To combat the muscle loss and severe fatigue associated with profound appetite suppression, MTC offers nutritional counseling and coaching to help you build a sustainable, protein-forward eating schedule

When studied therapeutically, TB-500 is thought to target damaged tissue and support repair at the cellular level

It should be kept in mind at such times that restlessness, anxiety, tinnitus, dizziness, blurred vision, tremors, depression or drowsiness may be early warning signs of central nervous system toxicity

So if you have severe kidney disease, which might explain maybe the the lepto connection, although I think lepto also can cause just lysis of the red blood cell