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Long-term deficiency can lead to permanent nerve damage, repeated fractures, weakened immunity, balance problems, and increased risk of falls and cognitive decline

Our governance model includes: Prescribing restricted to Dr Nirusha Kumaran and Dr Tasnim Elghandy, both holding valid certification in peptide therapy Quarterly clinical audit of outcomes, adverse events, and adherence Documented discontinuation criteria for every active protocol An active adverse event registry and clinical KPI tracking No prescribing in cases of active malignancy, pregnancy, or severe psychiatric illness This level of institutional rigour is what separates physician-led peptide therapy from the commercially driven, under-regulated alternatives that exist elsewhere in the market

a total dose of 60 mg/kg/day was well tolerated with no observable adverse effects

What is the maintenance protocol for vitamin B12 injections after the initial treatment phase