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The Tier 2 supplements include: Vitamin B12 (when serum B12 is below my threshold) Folate (when serum folate or red cell folate is low) Iron (when iron studies show depletion or frank anaemia) Vitamin A (when serum retinol is low) Thiamine (B1) (when whole blood thiamine is low) Vitamin B6 (when PLP is low) Calcium citrate (guided by calcium, vitamin D, and clinical context) Selenium (when selenium is low, more common in post-bariatric patients) The principle is that I do not add these reflexively

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In weight loss treatments, B12 plays a role in boosting metabolism, helping to convert carbohydrates into glucose, which the body uses for energy

Unlike traditional dermal fillers that add immediate volume, this scaffold stimulates the production of vital skin proteins, leading to more resilient, youthful skin texture over time