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For gut targets specifically the oral case is stronger, because the compound can act locally without needing systemic absorption

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Several meta-analyses suggest a reduced incidence of gestational diabetes with this dosing strategy, but authors emphasize that evidence quality is moderate and that further large-scale randomized trials are needed before universal recommendations can be made.9 24 25 26 Psychiatric research (high-dose, limited evidence) Studies exploring inositol for panic disorder, obsessive-compulsive disorder, or depression have used much higher doses — often 12,000–18,000mg per day.35 36 37 While some small trials reported symptom improvement, results have been inconsistent, and these doses are far higher than those used for metabolic or reproductive purposes.38 Most reviews do not recommend high-dose inositol for mental health outside of clinical supervision.42 Across contexts, higher doses do not consistently produce stronger effects