Vascular: Ultrasound (Doppler) to evaluate blood flow
It is also worth taking a look at this from MHRA Further_response_FOI_23-724_Clarification.pdf The government position was that B12 cant be available for sale in pharmacies because it is an injection and the condition it is licensed to treat (B12 deficiency) requires a clinician to diagnose it
Thus, one quarter of all women aged 25 and almost one third of all healthy adults aged over 65 in Germany have a vitamin B12 deficiency
I ordered a decent amount (to get free postage, being a cheapskate LOL) so the ampoules eventually expired LOL I've tried to log in but it doesn't seem to accept my password/email
B12 addresses specific vulnerabilities that come with GLP-1 receptor agonist therapy, from nausea at initiation to nutrient absorption deficits that develop over months of use
In case of high-risk patients or new-onset subclinical neurographic changes, starting slowly or lowering the speed and the dose of infusion respectively, might help avoiding the risk of progression of the PN and even improve the PN (Rispoli et al