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Heres what we suggest for these patients: Give them high doses of vitamin B12 (1000-2000 mcg) often (daily or weekly) at first Consider Tiaminal B12 injections, which have both thiamine and B12 Watch their symptoms closely and adjust treatment as needed Experts say that High-dose vitamin B12 therapy can lead to significant improvements in neurological function in patients with deficiency-related neuropathy. In short, customizing B12 injection plans for the elderly and those with neurological issues is key

At NY Medical Weight Loss, we offer these injections as part of our holistic approach to weight management

A difference of 0.25 units at 10mg/ml concentration equals only 0.025mg of tirzepatide, which is less than 1% of even the smallest standard dose

Your GP may recommend blood tests to check thyroid function and electrolyte levels, and possibly vitamin B12 status (particularly if you also take metformin), as deficiencies or imbalances in these areas can contribute to neurological symptoms

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This is the variable you control, and its what determines your final concentration