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It is diagnosed through skin biopsy showing reduced intraepidermal nerve fiber density (IENFD) or corneal confocal microscopy showing reduced corneal nerve fiber density

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And then, between weeks 2 4, your fat metabolism improves, leading to steady fat loss, typically 25 pounds, especially from stubborn areas like the abdomen and thighs

Plus my GP surgery took me off B12 and thats why I self injecting as I couldnt manage without it, however they dont think I should be and its hard to explain to them why I do, they act like Ive told them I inject crack cocaine when I have good reasons for injecting B12 but cant prove it as obviously my B12 comes up sky high in a blood test

These individuals may need much higher doses or may not see the same results as they would with injections

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