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Laboratory factors such as macro-B12 (immunoglobulin-bound B12) can cause spurious elevation on some assays

Patients with fatty liver disease who experience worsening fatigue, new neurological symptoms, or unexplained anaemia should discuss testing with their GP

People with a personal or family history of medullary thyroid carcinoma, MEN2 syndrome, active pancreatitis, or severe gastroparesis should not take GLP-1 agonists at all

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Growth hormone secretagogues require consistent timing, typically before bed on an empty stomach, and the pen makes that nightly routine a 30-second process rather than a multi-minute syringe preparation

This log protects against dosing errors, helps identify trends if you notice inconsistencies, and provides a reference if you need to verify a past reconstitution