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For a vitamin B12 injection to have an effect, several things must be considered, including the individuals metabolism and how frequently the injections are given

Novials A, Rodriguez-Maas L, Chico A, El Assar M, Casas S, Gomis R

Keep in mind that the patient experience and treatment results may vary from person to person.

Kiernan M (2019) ALS treatment strategies

Lose weight or address body composition changes: Ask your clinician about GLP-1s (like semaglutide or tirzepatide), other meds like Contrave or metformin, supplements like berberine, and other lifestyle strategies

Mohamed A, Mahmoud S, Saad MO, Gazwi K, Elshafei M, Al Anany R