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Patients seeking B12 testing or treatment should consult their GP, who can arrange appropriate blood tests (serum B12, full blood count, folate, and if indicated, intrinsic factor and parietal cell antibodies) and prescribe treatment if deficiency is confirmed

Training approach Resistance training is crucial: Lift weights 3-5x per week

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Contraindications Given the limited safety data, conservative contraindications would include pregnancy or plans to become pregnant, breastfeeding, age under 18, severe liver or kidney disease, and any condition requiring medications with unknown interaction potential