Decrease dose consideration: Persistent side effects including headaches, fatigue, or injection site reactions, excessive response (extremely rapid weight loss suggesting dose may be higher than needed), cost concerns when lower doses might achieve similar results
Its not a green lightbut it could change access, oversight, and how these compounds are used moving forward
Despite its vital importance to our health, vitamin B12 deficiency is quite common
In recent years, its also gained attention as part of medical weight loss programs
Simple timing framework Baseline Discuss baseline labs before starting, especially with autoimmune disease, infection risk, cancer history, liver or kidney issues, anticoagulant use, or a recent major injury