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All peptide therapy requires physician supervision and comprehensive health assessment

Vitamin B 12 deficiency symptoms may include: strange sensations, numbness, or tingling in the hands, legs, or feet difficulty walking (staggering, balance problems) anemia a swollen, inflamed tongue difficulty thinking and reasoning (cognitive difficulties), or memory loss weakness fatigue While an experienced physician may notice the symptoms and be able to detect a vitamin B 12 deficiency with a good interview and physical exam, a blood test is needed to confirm the condition

Collaboration among endocrinologists, gynecologists, dietitians, and physiatrists can maximize outcomes, especially in the presence of contraindications or multiple comorbidities

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doi: 10.1210/clinem/dgz140 169 KhooTKLinJ