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Long-term vitamin B12 deficiency of greater than 3 months may result in irreversible degenerative lesions of the spinal cord (CNS)

Labs & monitoring Baseline metabolic labs and A1C when indicated Check-ins for appetite, tolerance, and progress Dose adjustments based on your clinical picture Compounding partner We source compounded medications from Olympia Pharmacy a licensed 503A/503B facility

Taking certain medicines for a long time, like proton pump inhibitors or metformin, can block B12 absorption

Rhodiola in particular has research supporting its use for fatigue

Overweight, obesity, and blood pressure: the effects of modest weight reduction