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BPC-157 is commonly used during or after advanced supplementation cycles to support tissue health, reduce inflammation, and accelerate recovery

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Methylcobalamin, while slightly less stable, remains safe and effective when handled properly in a clinical setting

Employer policies may vary While standard drug tests do not detect peptides, employer policies could theoretically address them through other means

For patients seeking weight loss who request B12 injections, GPs should: Assess for genuine deficiency through appropriate blood tests rather than empirical treatment Provide education about the lack of evidence supporting B12 for weight loss in non-deficient individuals Explore underlying concerns about weight and energy levels, addressing these through appropriate channels Signpost to evidence-based resources such as NHS weight management services according to local pathways Patients should contact their GP if they experience unexplained fatigue, neurological symptoms (numbness, tingling, balance problems), or signs of anaemia (pallor, breathlessness, palpitations), as these may indicate B12 deficiency requiring investigation

The exact prevalence of thrombocytopenia is unknown