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202 Synthetic progestins have been associated with side effects such as fatigue, low mood, and water retention (swelling)

Folic acid supplements can mask a vitamin B12 deficiency and potentially delay its diagnosis or treatment, but they dont directly interfere with B12 injections

Future trials should also measure important outcomes such as the clinical signs and symptoms of vitamin B 12 deficiency, health related-quality of life, socioeconomic effects, and report adverse events adequately, preferably in a primary care setting. Clinical practice guidelines British Columbia Medical Services Commission (MSC)

It ensures that every dose is precise, sterile, and easy to handle, reducing the risk of contamination and making it an ideal choice for hospital and clinic settings

And, very promisingly, peptide therapy has been shown to slow and even reverse some signs of aging