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Therapeutic-Model Protocol Dose: 0.50 1.00 mg (= 2040 clicks) Duration: 6 8 weeks Frequency: Daily Cycle Interval: 2 3 weeks off between cycles Goal / Description: Higher dose to assess enhanced lipolysis and energy utilization

Besides the anemia, a prolonged lack of B12 could lead to serious neurological damage, even paralysis

LOOP or Standard Duodenal Switch: It is generally recommended to take 500 to 1,000 micrograms (mcg) of vitamin B12 daily, either in the form of oral supplements or injections

From a health economics perspective, lifelong B12 supplementation should involve cost-effective delivery routes and tailored dosages to optimise clinical outcomes while minimising excess

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