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For patients with specific cognitive complaints, the workup for treatable causes and evidence-based interventions (exercise, sleep, treating underlying conditions, appropriate medications when indicated) all come before considering unstudied research chemicals

Less commonly, some users experience anxiety symptoms or joint pain

Reference: Paggers L, Mesotten D, Stragier H

Use No-Lactose Bases: If dairy causes bloating, try lactose-free milk, or unsweetened almond milk, soy milk, or oat milk

Failure to sequence correctly constitutes a coding error and may trigger a Correct Coding Initiative (CCI) edit

Currently, the first line of treatment is hydroxyurea (Figure 1)