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Converting to daily nasal spray requires distributing these weekly amounts across daily administrations and adjusting for bioavailability

A reasonable candidate is someone who: Is already following a structured, clinician-supervised nutrition and activity plan Has a documented B12 deficiency or a condition that impairs B12 absorption Cannot tolerate GLP-1 medications, or is not a candidate for them Declines prescription pharmacotherapy and wants a non-stimulant, non-surgical adjunct Understands because the clinician has said so plainly that the injection is a supporting player A poor candidate is someone who wants the shot instead of the program

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This kind of peer-to-peer knowledge is especially valuable in a field where controlled trial data is limited