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Following approved preparation standards improves safe handling during routine treatments

It possible that current B12 deficiency treatment protocols for those with PA are poorly designed and that injections should be much more frequent but of a lower dosage (for example) to more effectively control symptoms

Additional tests include liver function tests (ALT, AST, bilirubin, albumin), renal function tests, and potentially fibrosis risk scores such as FIB-4 or an Enhanced Liver Fibrosis (ELF) blood test if advanced liver disease is suspected

Tesamorelin adds visceral fat reduction (directly addressing the obesity component), improved body composition (supporting metabolic rate), and potential cardiovascular benefits through reduction of the inflammatory visceral fat depot