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With a non existent B12 I am not surprised you feel so awful its going to take time to heal

Could I try high-dose oral therapy first

GHRP-6 (10mg Vial) Dosage Protocol Ghrelin-receptor GH secretagogue (appetite-stimulating) research/educational dosing reference

Molecular Formula: C10H11N2+ Molecular Weight: 159.21 g/mol Potential Applications of 5-Amino-1MQ Laboratory research has indicated that 5-Amino-1MQ peptide may have the following applications: Fat Loss: Support healthy fat metabolism and body composition goals Increases energy expenditure: Helps inhibit NNMT (nicotinamide N-methyltransferase), an enzyme associated with energy regulation and fat storage Supports metabolic efficiency and cellular energy production Prevents muscle loss: Potentially helps maintain lean muscle mass during calorie-controlled diets

To improve your vitamin D levels, I recommend time outside in the sun every day