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Its generally recommended to avoid eating for a couple of hours before dosing, as elevated insulin levels can interfere with growth hormone release
Foam on the surface (large, persistent bubbles) indicates you either shook the vial or injected water too aggressively
While that may sound high, B12 is a water-soluble vitamin , meaning the body uses what it needs and excretes the rest so this ensures that your body absorbs the maximum that it requires
Your GP may arrange further blood tests, imaging studies, or referral to specialist services depending on clinical suspicion and initial investigation results