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B12 supplementation in people who are not deficient does not produce meaningful additional energy benefits beyond what normal B12 levels already provide

Proper storage and aseptic access help preserve the usability of bacteriostatic water for peptides in qualified laboratory environments

In refractory cases when patients have persistent, bothersome symptoms despite having an initial evaluation, additional testing may be indicated, such as esophageal manometry to exclude a motility disorder (eg, achalasia) and EGD with biopsy (while PPIs are held) to exclude EoE

Entry requirements: Membership to a Professional Statutory & Regulatory Body (PSRB) with no restrictions to practice or pending investigations or suspensions from practice i.e