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Who Might Benefit and Who Should Consult a Doctor First

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A reasonable candidate is someone who: Is already following a structured, clinician-supervised nutrition and activity plan Has a documented B12 deficiency or a condition that impairs B12 absorption Cannot tolerate GLP-1 medications, or is not a candidate for them Declines prescription pharmacotherapy and wants a non-stimulant, non-surgical adjunct Understands because the clinician has said so plainly that the injection is a supporting player A poor candidate is someone who wants the shot instead of the program

The New England Journal of Medicine, 387 (15), 14331434

Scores of followers have started injecting themselves, with the most serious users even buying them from online gray markets
