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I keep my B12 at room temperature and warm it a little by rubbing the ampule between my palms

Theyll likely discuss a number of possibilities with you, including changing your medication or lowering the dose

My blood test results then came back showing elevated levels of urates, raised CRP levels [C-reactive protein, a marker of inflammation] and other inflammatory markers

The 2025 IV pilot measured cardiac, hepatic, renal, thyroid, and glucose biomarkers and reported no abnormalities (Lee et al., 2025), which gives a sense of what those investigators considered worth checking

If injection site reactions bother you, semaglutide has the cleaner profile