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While healthy kidneys can flush out excess B12 since its water-soluble, those with impaired kidney function might struggle to eliminate it, leading to unwanted buildup in the blood

When you pair peptide therapy with a smart diet, exercise, and protocol choices, you can get more synergy and better results than either approach alone

The optimized version of WLS Optimum (2.0) additionally improved serum levels of vitamin B12, vitamin B6, and zinc, and resulted in less deficiencies for vitamin B12 and phosphate during the first year after SG, in comparison to WLS Optimum 1.0 [12]

A low dose of steroid (at the discretion of the provider) in a few instances