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Providers must secure detailed informed consent, explaining that while these peptides show significant clinical utility, some may be utilized off-label for weight management
In severe cases, it can lead to anemia and neurological problems
New or worsening neurological symptoms such as paraesthesia or gait disturbance require same-day clinical assessment and prompt parenteral B12 treatment per BSH guidance
The signs and symptoms of B12 deficiency differ widely
Far fewer think about the other side of the problem: testosterone that is too high
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