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Gopal Grandhige, MD, a board-certified general surgeon specializing in aesthetic surgery, uses only human-grade medications from licensed compounding pharmacies, not the unregulated, research-grade products sold online that are labeled not for human use. A concierge dietitian is also on staff to help patients sustain results through targeted nutrition

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18 Table 4 Time to Improvement of Abnormalities in Vitamin B12 Deficiency After Initiation of Treatment A 2005 Cochrane review involving 108 patients with vitamin B 12 deficiency found that high-dose oral replacement (1 mg to 2 mg per day) was as effective as parenteral administration for correcting anemia and neurologic symptoms