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ECCO guidelines on extraintestinal manifestations in inflammatory bowel disease

GHK-Cu has much more research supporting skin benefits

During the significant caloric restriction that often accompanies tirzepatide therapy , maintaining adequate B12 levels helps prevent the profound fatigue that can derail a weight loss program

Injections allow for direct absorption when dietary intake or oral supplementation may be insufficient

Additional injections of 100 mcg monthly may be needed depending on level of symptom improvement and cause of vitamin B12 deficiency

B12 injections are harmless, simple, inexpensive, and very effective