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You take certain medications: Long-term use of proton pump inhibitors (for acid reflux) or metformin (for diabetes) can interfere with B12 absorption

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We suggest regular blood tests to check: Serum Vitamin B12 levels Methylmalonic acid (MMA) and homocysteine levels Complete Blood Count (CBC) to monitor for signs of anemia These results help us adjust the dose

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In this review, we will focus on the metabolic effects of IGF-1, the concept of metabolic syndrome and its clinical manifestations (impaired lipid profile, insulin resistance, increased glucose levels, obesity, and cardiovascular disease), discussing whether IGF-1 replacement therapy could be a beneficial strategy for these patients

Frequencies range from weekly to monthly, depending on your goals and baseline levels