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The standard NHS pattern is a loading phase (injections on alternate days for up to two weeks), followed by maintenance

Certain medications may also interfere with absorption and cause deficiency, in particular, medicines prescribed for heartburn, antibiotics, blood pressure medicine, cholesterol-lowering drugs, diabetes medications and antipsychotic drugs

This morning, I found out that there are actually B12 shots and Im always willing to use my body as a guinea pig

I take esomaprazole for heartburn and this can reduce the ability to absorb vit b12 hence mt taking the oral spray

Timing considerations Morning and evening applications are common for twice-daily protocols

Regulatory status As of June 2026, tesamorelin is FDA-approved only for HIV-associated lipodystrophy (EGRIFTA WR / EGRIFTA SV)