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Some patients feel as though they want more frequent injections, and occasionally we test levels to see if they are receiving adequate replacement, but Im not sure how strong the evidence is to support this. GPs should consider periodic vitamin B12 testing of higher-risk patients who take metformin, even if they dont display symptoms of deficiency, the UK medicines regulator said earlier this year

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GHK-Cu: The Regenerative Signal GHK-Cu is a copper-binding tripeptide that occurs naturally in human plasma, but it declines as we age

Continue supplementation indefinitely given dietary pattern