Recheck at 4 to 6 weeks, escalate to IM if not rising adequately
Alpha BRAIN Instant is the closest alternative if you cant swallow pills, but the flavors add ten calories
Signs of contamination or degradation: Cloudiness or turbidity (potential bacterial growth or precipitation) Visible particles or crystals (potential contamination or degradation products) Discolouration or browning (potential oxidative degradation) Visible mould growth (rare, but indicates severe contamination) Unpleasant or unusual odour (potential bacterial contamination) Action: If any of these signs are observed, discard the vial immediately
However, analysis of 20% weight loss was not performed for the 0.3 mg and placebo groups because no participants in those arms achieved that degree of reduction [1]
While its possible to meet these recommendations through fortified foods alone, it requires more planning than simply taking a vitamin B12 supplement
Compounding semaglutide allows personalized formulations for patients that are not commercially available