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Regular serum B12 monitoring is not routinely necessary once stable on replacement therapy, as levels become artificially elevated and unreliable
Early awareness makes it easier to take action quickly
Treat early with Botox and be consistent you can get away with longer between treatments when youre younger, but as you age, if you want to prevent frown lines and forehead wrinkles from needing filler as well as Botox, you need to be retreating every 4-5 months, max
A 21-23 gauge needle works well for this step because its larger bore allows water to flow easily without excessive force
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