From here we discuss goals for treatment and create a plan of care
The same distinction has caused confusion around compounded versions of popular weight-loss medicines
Stop taking Vitamin B12 Injection and call your doctor at once if you have one of these serious side effects: Congestive heart failure Low potassium levels in body Narrowing or blocking of blood vessels Pulmonary edema (a condition where there is excess fluid in the lungs) Serious allergic reaction Thrombocytosis (a disorder where your body produces too many platelets) Less serious side effects include headache, nausea, anxiety, nervousness, diarrhea, swelling, infection, severe itching of skin, loss of coordination and balance

Risk factors that should prompt consideration of B12 deficiency include advancing age (reduced stomach acid production), strict vegan or vegetarian diets, pernicious anaemia, gastrointestinal surgery (particularly gastric bypass or ileal resection), long-term use of certain medications (metformin, proton pump inhibitors, H2-receptor antagonists), nitrous oxide exposure (including recreational use), and conditions affecting the gut such as Crohn's disease or coeliac disease
Caloric deficit even a mild 300-500 calorie daily deficit dramatically improves outcomes
This could be a game changer for you!!!!