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UK guidelines recommend monitoring clinical response and full blood count (typically at around 2 months) to ensure treatment adequacy, rather than routinely rechecking B12 levels after replacement has started
Individuals who are pregnant or breastfeeding, those with a history of certain cancers (due to the peptides ability to stimulate blood vessel growth), or those with copper metabolism disorders such as Wilsons disease should avoid this therapy
Most patients see improvements in 26 weeks depending on the peptide
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