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161 In a 12-week randomized controlled trial in 160 subjects with peripheral vertigo, 79% of patients who received 120 mg of a ginkgo standardized extract twice daily (providing 22.027.0% ginkgo flavonoids and 5.07.0% terpene lactones) rated symptoms as very much improved or much improved from baseline while only 70% of those treated with 16 mg twice daily of the drug betahistine had the same level of improvement

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Concurrent use of medications that affect b12 absorption Several common medications interfere with b12 absorption through various mechanisms

Other Markers A few other things we can look at with an organic acid test include (this is not a complete list): Some nutritional deficiencies including vitamin D, B vitamins, and CoQ10 Salicylate metabolism Metabolism of folate via pyrimidine metabolites Amino acid metabolites Antioxidant status and other nutritional markers Supplement Guide In my telehealth clinic, Im often asked about supplementswhat to take, why, and which brands are best