It is not approved by Health Canada for human or veterinary use
Combine with sunscreen during the day (the single most important anti-aging intervention) and ideally a retinoid at night for facial use
REDEFINE 1 Combination Data The closest analog for layered amylin + incretin tolerability is REDEFINE 1, where cagrilintide 2.4 mg was paired with semaglutide 2.4 mg: The pattern: layering cagrilintide on a GLP-1 backbone produced modestly more GI events than the GLP-1 alone, but discontinuation rates were similar
B12 from a normal diet containing meat, fish, eggs, dairy or fortified foods is not usually the issue: it is very difficult to consume too much B12 from food alone
If you want to understand which protocol makes sense for your goals, the consultation is the right starting point
Some medications, like GLP-1 drugs for obesity, are also peptides