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The decision to continue, adjust, or discontinue therapy should be based on objective body composition measurements (DEXA scans, circumference measurements), achievement of fat loss goals, tolerance and side effect profile, and physician assessment of metabolic markers

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As a diagnosed Pernicious Anaemia patient of 6 years , I do not advise you to use nasal spray instead of B12 injections

If results plateau at 400mcg after four weeks, consider 500mcg for the remainder of the cycle

While most people obtain B-12 from meat, eggs, and dairy, excessive intake from food and supplements has no adverse effects in healthy individuals

I will ask my doctor about this as soon as possible