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PMID 35691683

If you have malabsorption syndrome (such as short bowel syndrome, certain bariatric surgery patients, chronic pancreatitis, or celiac disease that severely impairs nutrient uptake), you might need these injections indefinitely to prevent recurrent deficiencies

A midwife or GP can help weigh whether that trade-off makes sense for an individual situation

Most patients at Perfect B pay out of pocket for growth hormone peptide protocols

Methods Study setting The study site is located in Bhaktapur, 15 km east of the capital city Kathmandu

The team's experience has shown that with proper training, most patients can confidently manage their B12 supplementation at home