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Liver: Use with caution in liver disorders
Deficiency after LAGB is primarily driven by reduced intake of B12-rich foods and use of acid-suppressing medicines such as PPIs or H2RAs
Conventional alternatives include topical retinoids and in-office collagen-induction procedures
MOTS-C improves metabolism by enhancing insulin sensitivity, increasing muscle glucose uptake, and promoting cellular energy production
Clinics generally advise against starting treatment for anyone who: Is pregnant Has a personal or family history of thyroid cancer Has a history of multiple endocrine neoplasia (MEN) syndrome BMI and health history serve as a useful starting point for this evaluation, not an absolute cutoff, since metabolism and overall wellness also weigh into a provider's decision
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