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All findings are from animal studies no human clinical trials have been completed
Most stability data supports up to 48 hours at room temperature without significant degradation

Pregnancy, as high doses of vitamin B12 may be harmful to the developing fetus It is important to consult with a healthcare professional to determine if vitamin B12 injections are appropriate for you and to discuss any contraindications or potential risks associated with this treatment

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It is knowing which patient needs a GLP-1 and which one needs a workup, how to titrate through the nausea window without losing the patient, how to protect lean mass during rapid loss, how to screen for the contraindications that matter, and how to tell a patient honestly what an adjunct will and will not do for them

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