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Dr Lapp's supplement recommendations Dr Charles Lapp, founder of the Hunter-Hopkins Center for chronic fatigue syndrome and fibromyalgia has recommended the following protocol of nutritional supplements: a multivitamin, vitamin B12, vitamin D3, calcium, magnesium, D-ribose, DHEA, Lysine, fish oil, plus for the most severely ill he also recommends NADH and acetylcarnitine

For pharmacies, adherence challenges translate into irregular refill patterns, increased patient counseling needs, and more frequent interactions related to side effects and expectations

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