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Maintain a balanced, protein-forward diet with adequate micronutrients to support lean mass during weight loss
The intranasal formulations are not approved to treat acute B12 deficiency
If low energy is your concern, a vitamin B12 injection in Luton consultation can be a helpful starting point, but ongoing tiredness should be reviewed properly so the real cause is not missed
Kidney and cardiovascular outcomes SURPASS-4 kidney composite HR 0.58, slower eGFR decline (-1.4 vs -3.6 mL/min/1.73m2/yr), UACR -6.8% vs +36.9%
In sum: Uncertain risks plus an unclear benefit equals a trade-off thats just not worth it
I was diagnosed with low B12 almost 2 years ago and while I had to diagnose myself, my GP was very helpful and seemingly knowledgeable after it was discovered
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