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It is the crux of this article

Check expiration dates carefully, as compounded medications generally have shorter beyond-use dates than FDA-approved products

Differentiating from Other Conditions Neurological signs and symptoms can be vitamin B12 deficiency associated or due to other causes such as: Pernicious anemia Syphilis Neurosyphilis Human immunodeficiency virus (HIV)-associated vacuolar myelopathy Toxic neuropathies Tropical myeloneuropathy Your healthcare provider can make a proper diagnosis based on your symptoms, medical history, physical exam, and laboratory test findings

For patients dealing with significant thinning, you need physical restoration treatments: injected PRP, exosomes, or microneedling combined with exosomes

The FDA-approved brand-name tirzepatide treatment

Haskins, J., Gu, L., Wittchen, E