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Despite the high prevalence of this condition, there is widespread heterogeneity regarding routes, schedules and dosages of vitamin B12 administration

For skin : Direct subcutaneous injection into areas of concern (face, neck, dcolletage) or systemic administration with localized topical application for synergistic effect

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If you have neurological symptoms (pins and needles, numbness, balance issues), severe fatigue, unexplained weight loss, chest pain, breathlessness, or symptoms that are worsening, you should seek medical assessment promptly.

Enclomiphene provides the benefits of the trans isomer without these issues