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How Cleveland Care Clinic May Use This Option Patient Evaluation Full medical history, labs, comorbid conditions, contraindications screening Informed Consent & Shared Decision Discussion of pros, uncertainties, and monitoring plan Personalized Dosing Plan Titrating dose carefully to balance efficacy and tolerability Comprehensive Support Dietary, behavioral, activity coaching alongside injection therapy Regular Monitoring Tracking metabolic markers, side effects, weight, body composition Adjustment or Transition If compounded therapy is not ideal long-term, transition to FDA-approved alternatives when feasible Who Might Be a Candidate

So would it be the B12 deficiency causing the heart symptoms, not the B12 itself

Lancet 398 (10313), 18111824

In a notebook entry, Mojsov inserted a hand drawn arrow denoting a potential cleavage site after the arginine at position 6 (8)