Dermatologist Consultation: Always have a diagnosis from your dermatologist to identify the deficiency, the severity of hair loss and recommend a suitable treatment plan
A decreased HoloTC level along with an increase in the size of the red blood cells (macrocytosis) is a good measure of vitamin B12 deficiency
Other groups who may benefit include: Patients following gastric surgery (gastrectomy, bariatric procedures) where intrinsic factor production or absorption sites are compromised Individuals with malabsorption disorders such as Crohn's disease, coeliac disease, or chronic pancreatitis Strict vegans and vegetarians with dietary insufficiency, though oral supplementation is usually tried first Elderly patients with atrophic gastritis or reduced gastric acid production Patients on long-term metformin or proton pump inhibitors, which can impair B12 absorption [6] [8] Individuals with nitrous oxide exposure (recreational or medical), which can cause functional B12 deficiency Diagnosis typically involves serum B12 measurement, with levels below approximately 148 pmol/L (though thresholds vary between laboratories) generally indicating deficiency
B12 supplementation has been reported by some clinicians and patients to help with GLP-1 nausea, but no controlled studies have confirmed this effect
Lipotropic, B12 Injection $49 per dose w/ medical consultation (PACKAGES AVAILABLE IN OFFICE) Frequency: 1-2 times per week Lose weight and improve energy levels with this specially formulated injection
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