If you develop fatigue, memory problems, or neuropathy despite weekly B12 injections, check B12, methylmalonic acid, and homocysteine levels to assess functional B12 status
Other therapies Other therapies, including counseling and cognitive behavioral therapy (CBT), may be helpful for people looking to manage symptoms without relying on other drugs
Heart Fail
Approach: 1.2-1.4g protein per kg body weight daily (track with an app) Iron supplementation to maintain ferritin above 50 ng/mL 30mg zinc daily with 1mg copper 5,000 IU vitamin D daily (adjust based on levels) 5,000mcg biotin daily B-complex supplement Collagen peptides 10-15g daily (provides glycine and proline for hair structure) Baseline labs before starting, repeat at months 3, 6, and 9 Consider starting 2% minoxidil preventively Monthly hair progress photos Minimum 1,400 calories daily even when appetite is low Expected outcome: Mild shedding possible around months 4-6, generally self-limiting with recovery beginning by month 8-9
1 And for a good reason