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When evaluating a provider, look for clear disclosure that compounded medications are not FDA-approved, identification of the actual licensed compounding pharmacy partner, LegitScript or similar third-party certification, and no use of phrases like "same active ingredient as Wegovy" without proper qualification

Increase to 5 mg: After 4 weeks, increase the dose to 5 mg once weekly

In summary, tailoring B12 therapy to the cause of deficiency is key

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Thank you to everyone in the Lyme community who gave comments at the November 7 California State Board of Pharmacy (BOP) meeting

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