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For women, Monica recommends the Tesamorelin/Ipamorelin blend at 150/50 mcg, in the PM while fasted, 5x per week, 8 weeks on then 6-8 weeks off

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If you have been told that your standard lab results are "normal" while you continue to suffer, it is important to know that functional, cellular-level deficiencieslike a lack of intracellular adenosylcobalaminare rarely caught on standard tests

Monitoring schedule Healthcare providers who specialize in GLP-1 therapy typically recommend this monitoring cadence: Baseline: Full B12 panel before starting semaglutide 3 months: Repeat serum B12 and MMA 6 months: Full panel reassessment Annually: Once stable, annual monitoring is usually sufficient For high-risk patients (metformin users, vegans, those over 60, post-bariatric surgery), the 3-month check is particularly important