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It will not out-run a diet that isn't in a deficit

Doctors decide on B12 injections based on a full check-up and lab tests to confirm the deficiency

This may include restrictions based on patient Body Mass Index (BMI) and prior weight loss attempts, as well as limitations on the length and quantity of medications prescribed

A Mediterranean-style diet, 150 minutes weekly of moderate-intensity exercise, limiting alcohol to 14 units per week, and managing comorbidities such as diabetes all contribute to improved outcomes

It is promising mechanistically, but not something to treat as a mainstream testosterone solution