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For neurological involvement, hydroxocobalamin 1mg should be given on alternate days until no further improvement, before moving to maintenance

Document what was assessed, what clinical decision was made, and how that decision differed from the injection administration work

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This biomarker snapshot helps your provider confirm deficiency and establish a rational treatment baseline

These stacks often include peptides like sermorelin or CJC-1295 alongside the NNMT inhibitor
