If you want to record appts probably best to put request in writing to GP surgery a week or so before appt and include reasons why you need to record eg symptoms such as brainfog, poor concentration, poor hearing/tinnitus, memory problems, fatigue
The patient-reported benefit is real but confounded
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In terms of respective effects: Ipamorelin therapy increases serum GH, appetite, and body weight
Using sterile water (which has no preservative) is an option only if you plan to use the entire vial in a single session, which is rarely practical
Because of this, the spray form of vitamin B12 supplement allows nutrients to be absorbed through the mouth and the remainder though the gut