Regular follow-ups allow the medical team to track progress, make necessary adjustments, and address any questions or concerns
Other groups who may benefit include: Patients following gastric surgery (gastrectomy, bariatric procedures) where intrinsic factor production or absorption sites are compromised Individuals with malabsorption disorders such as Crohn's disease, coeliac disease, or chronic pancreatitis Strict vegans and vegetarians with dietary insufficiency, though oral supplementation is usually tried first Elderly patients with atrophic gastritis or reduced gastric acid production Patients on long-term metformin or proton pump inhibitors, which can impair B12 absorption [6] [8] Individuals with nitrous oxide exposure (recreational or medical), which can cause functional B12 deficiency Diagnosis typically involves serum B12 measurement, with levels below approximately 148 pmol/L (though thresholds vary between laboratories) generally indicating deficiency
Magnesium Threonate: The only form of magnesium that crosses the blood-brain barrier effectively to calm nerve excitability
Any statements regarding therapeutic use have not been evaluated by the FDA.
Most patients use lipotropic injections as one component of a broader weight loss plan, and the injections alone are not expected to produce dramatic weight loss