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Based on investigational protocol reports and the clinical trial data, most subjects begin to see measurable changes in body composition at 4 to 6 weeks on a consistent daily protocol at 300 mcg

Metabolic disturbances : Excessive lipolysis may theoretically elevate free fatty acids, potentially affecting liver function or lipid profiles, though this has not been studied in this context

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If a patient has specific or red flag features B 12 deficiency testing should be initiated (see Figure 1: B 12 Test Result Review and Process Algorithm for Patients with Risk Factor for B 12 Deficiency * and/or Non-specific ** or Specific Symptom of B 12 Deficiency )

Thankfully, we are no longer living in the middle ages and we are lucky enough to have discovered how to treat the condition using vitamin B12 injections, so it is now much less threatening

B12 shots are generally safe