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Your reminder to check folate alongside B12 and prioritize B12 replacement to prevent neurological progression is a vital clinical pearl

Comprehensive Client Assessment Before recommending any peptide-based therapy, its essential to conduct a thorough assessment: Medical history : Check for hormonal imbalances, thyroid disorders, or nutrient deficiencies

Groups at higher risk of deficiency include older adults (due to reduced stomach acid production), people following vegan or strict vegetarian diets (as B12 is naturally found almost exclusively in animal products), individuals with pernicious anaemia or other malabsorption conditions, those taking certain medications such as metformin or proton pump inhibitors long-term, and people with significant nitrous oxide exposure (including recreational use), which can inactivate B12 in the body