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Consider B 12 supplementation without testing in asymptomatic patients with risk factors for B 12 deficiency (see Table 1: Patient Risk Factors Associated with B 12 Deficiency)

OTC products often contain lower or variable doses and are not tailored to deficiency treatment

In general, the ideal candidate is someone who: Has both skin and muscle laxity in their neck (vertical neck bands, a turkey wattle, or a double chin) is willing to achieve maximal improvement in the neck through surgery is medically eligible What is recovery like after a neck lift

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Nutrients, 2 (3), 299316

When to use IM injection Intramuscular is better when: Treating deep muscle injuries Want faster absorption Prefer muscle over fat injection Targeting specific muscle groups Most people use SubQ: SubQ is easier and works well IM not necessary for most BPC-157 uses IM more painful typically IM injection sites Best muscles: Glutes (butt, upper outer quadrant) Thighs (vastus lateralis - outer mid-thigh) Deltoids (shoulder muscle - advanced) Site selection: Choose muscle near injury if targeting specific area Rotate between muscles Requires longer needle than SubQ IM injection technique Different from SubQ: Longer needle (1-1.5 inch) 90-degree angle (straight in) Into muscle, not just under skin Inject slowly May feel more discomfort Not necessary for most BPC-157 users: SubQ works great