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The value is adjunctive: they prevent hepatic fat accumulation during aggressive calorie restriction, and they correct B12 deficiency that would otherwise limit exercise capacity and metabolic rate

However, in certain cases, such as individuals with malabsorption issues, digestive disorders, or other medical conditions, injectable vitamins may be recommended as a supplement to their diet

I will explain Vitamin B12 in another post but in a nutshell, you need either a sublingual, nasal, or injection dose of vitamin B12 either daily or every six months depending on the route

Monitoring T4 therapy in hypopituitarism Specialist Care TSH measurements are of no value in monitoring these patients