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Here are some groups at higher risk of deficiency: People with gastrointestinal issues: Conditions like pernicious anaemia, Crohns disease, or those who have undergone gastric bypass surgery can affect B12 absorption

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Lipotropic Shots (Lipo-B & Lipo-C) may NOT be suitable for individuals with: A known allergy to any of the ingredients, particularly sulfa drugs (related to Methionine)

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For reference, the FDA label dose of tesamorelin alone is 2 mg/day (legacy formulation) or 1.28 mg/day for the newer EGRIFTA WR formulation, and ipamorelin has been studied at roughly 100-300 mcg per dose in research settings
