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Winkler, J., Suhr, S

Mistake 2: Skipping bloodwork during GH secretagogue protocols

Need some help re B12 metabolism Hi started my B12 loading dose yesterday (yay!) and have 6 in total lined up

Other Drugs (metformin, proton pump inhibitors) Nitrous oxide exposure (oxidizes B12, inactivating it) Functions of Vitamin B12 Coenzyme in DNA synthesis RBC formation Maintains myelin sheath neurologic function Amino acid and fatty acid metabolism Clinical Features 1

Individual treatment plans, availability, benefits, risks, side effects, and results vary by patient

Nausea management strategies: - Start at 1 mg rather than 1.75 mg for the first dose - Take ondansetron (Zofran) 30 minutes before injection - Eat a light meal 1 to 2 hours before dosing - BPC-157 at 250 to 500 mcg may reduce nausea (anecdotal, not clinically validated for this use) Contraindications: uncontrolled hypertension, pregnancy, significant hepatic impairment