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A deficiency can lead to megaloblastic anemia, but clinicians must be equally cautious about how low levels affect the nervous system

Managing side effects during titration Nausea, reduced appetite, and occasional constipation are the most reported side effects, particularly during the first two weeks at each new dose level

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A provider can tell you whether a peptide is appropriate for what you are trying to achieve, what the current evidence genuinely supports, what monitoring would be involved, and whether better-established options exist for your situation

Author contributions Conceptualization: CN, WW