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If the deficiency was purely dietary, oral supplementation may be considered after initial repletion

Kidney function should be checked before starting as it naturally declines with age

When should you avoid vitamin B12 shots

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If youre exploring peptides because: GLP-1 side effects are limiting, youve plateaued and want a smarter plan, or youre trying to lose fat without sacrificing muscle, then the right next step is a structured metabolic review: whats driving weight, whats driving hunger, whats driving adherence, and which interventions actually address your bottleneck

Patients have been "tanked up" with daily injections, followed by weekly and then periodic ones that may continue the rest of their lives