Initial response time also depends on: Severity of the B12 deficiency Frequency of injections Underlying health conditions Absorption and metabolism differences If youre getting your first B12 shot, your provider may start you on a more aggressive schedule, such as weekly injections until your levels are normalized
However, persistently high serum B12 levels warrant medical investigation, as they may indicate liver disease, kidney dysfunction, or haematological disorders rather than simple overconsumption
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The diagnosis of BTBGD should be highly suspected if the patient meets any two of criteria (i) to (v) and fulfills criteria (vi) and (vii)
It triggers a clean GH pulse with minimal effect on cortisol or prolactin
Noticeable weight loss results typically take several weeks of consistent treatment combined with a healthy diet and exercise plan