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Summary: Retatrutide and sermorelin should not be combined outside a supervised clinical trial, as no interaction data exist and both agents are unlicensed in the UK for the indications most commonly sought

The two routes therefore come out broadly comparable once the goal is factored in

Once B12 is replaced, the blood count normalises relatively quickly, but the neurological recovery takes longer

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Our team generally advises against pre-loading syringes for extended periods