If you experience significant nausea after a dose increase, your doctor might decide to keep you at the lower dose for a longer period
10.1016/j.toxlet.2016.06.008 Toxicol
The scale is a liar in week one Weight fluctuates 2 to 5 pounds daily based on hydration, sodium intake, gut content, and hormonal cycles
Risk factors that should prompt consideration of B12 deficiency include advancing age (reduced stomach acid production), strict vegan or vegetarian diets, pernicious anaemia, gastrointestinal surgery (particularly gastric bypass or ileal resection), long-term use of certain medications (metformin, proton pump inhibitors, H2-receptor antagonists), nitrous oxide exposure (including recreational use), and conditions affecting the gut such as Crohn's disease or coeliac disease
Despite the rigorous efforts, PIPN that affects the quality of life of patients and leads to dose reductions or discontinuation, still remains a significant clinical problem
KLOW is administered via subcutaneous injection