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You should see your doctor if you have any of the symptoms listed above

The medication protocol is not prescribed for those with a BMI under 30, active eating disorders, gallbladder disease, history of substance abuse, very recent bariatric surgery, pancreatitis, thyroid cancer, or other specific exclusions

Treatment decisions may depend on: Age Health status Biological age markers Sleep quality Longevity goals Existing medical conditions Because peptide therapy is highly individualized, dosing and treatment schedules should always be determined by a qualified medical professional

Important things to keep in mind include: Serum B12 levels should be normal for most people Methylmalonic acid (MMA) and homocysteine levels can show if B12 is really working, even if levels seem fine How symptoms change is also important When and How to Adjust Dosing Regimens Doctors might need to change the dose based on test results and how the patient is doing