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The overprescribing of B12 shots is costing Ontarios health-care system, Silverstein says

2.2 Recognizing B12 Deficiency Suboptimal B12 may present subtly: Neurological : Paresthesias in hands or feet, gait instability, cognitive fogginess. Psychiatric : Mood swings, irritability, depression

A real consult covers medications (especially blood thinners, isotretinoin history within six months, recent or planned dental work, autoimmune flares), pregnancy and breastfeeding status, allergies, prior cosmetic history with photos if you have them, and your goals articulated in your own words rather than ticked off a checklist