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However, excessive exercise, particularly endurance training, can elevate cortisol and compete with hair follicles for nutritional resources

Timeline and Realistic Expectations Understanding what to expect and when helps you evaluate your response and make informed decisions about continuing treatment

Timing of administration relative to surgical procedures, optimal dosing in perioperative settings, and integration with standard post-operative care protocols require clinical investigation before establishing evidence-based perioperative protocols

If you are not able to have B12 injections, you may be suitable for treatment with B12 tablets or other forms of B12 supplements