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its a slow process

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The deficiency of vitamin B12 is also known to increase the risk of heart attack and stroke

Some users temporarily switch to morning injection during dose escalation so they can monitor their side effects during waking hours, then switch back to evening once they have stabilized

New symptoms warranting prompt medical evaluation include unexplained rashes, new joint pain patterns, unexpected changes in thyroid function, neurological symptoms (numbness, tingling, vision changes), unexplained cytopenias on blood work, and any symptom suggesting an autoimmune condition they have not previously been diagnosed with