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Food intake remained consistent between the groups, suggesting metabolic changes
However, vitamin B12 is also one of the major vitamins our bodies can't produce naturally
If you have sensitive skin, rosacea or a history of acne, mention this to your clinician before receiving injections and monitor your skin in the weeks after treatment
Conditions like pernicious anaemia (an autoimmune condition affecting a protein called intrinsic factor vital for B12 absorption), stomach issues (such as from reduced stomach acid or certain medications like proton pump inhibitors), intestinal disorders (like Crohns disease or coeliac disease), or even surgical removal of parts of the small intestine (e.g., gastric bypass surgery) can prevent proper absorption
B12 Deficiency: If there is a vitamin B12 deficiency, the starting dosage of 30mcg is administered beneath the skin or into the muscle daily for scheduled days to boost the overall levels
These patterns inform our current protocols: pre-injection metabolic screening (TSH, ferritin, B12, vitamin D), mandatory injection-site rotation education, and 12-week check-ins to address lifestyle factors
