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A: People with a personal or family history of MTC or MEN2 , prior pancreatitis , certain gallbladder or severe GI disorders, and those pregnant/breastfeeding should avoid or use only with specialist guidance

Regarding weight management , NHS guidance is unequivocal: B12 supplementation is not recommended as a weight loss intervention

Management of a multiple trauma patient with extensive instability of the lumbar spine as a result of a bilateral facet dislocation and multiple complete vertebral burst fractures

When I evaluate a patient for peptide therapy, Im not just asking what do they want, Im asking what does their bloodwork, history, and goals actually support. Thats why we dont sell peptides as a product we prescribe them as part of a monitored protocol, with a clear starting point and a way to measure whether its actually working for that specific patient