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The Tier 2 supplements include: Vitamin B12 (when serum B12 is below my threshold) Folate (when serum folate or red cell folate is low) Iron (when iron studies show depletion or frank anaemia) Vitamin A (when serum retinol is low) Thiamine (B1) (when whole blood thiamine is low) Vitamin B6 (when PLP is low) Calcium citrate (guided by calcium, vitamin D, and clinical context) Selenium (when selenium is low, more common in post-bariatric patients) The principle is that I do not add these reflexively

For the full breakdown of the research, see our guide on whether B12 injections work for weight loss

4 Discussion The metabolism of thiopurine prodrugs is complex and has a significant impact on their efficacy and safety in treating diseases like ALL and IBD

What Patients Are Saying "After just six weeks of CJC/Ipamorelin therapy, I feel years younger

youre entering a complex chemical dance that can have very serious consequences, particularly if you plan on getting behind the wheel