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Reyes-Jurado, F
The APRN intake at Perfect B includes a hormonal context review for all female patients starting a peptide protocol
Factors that may limit response include structural damage beyond soft tissue (bone spurs, severe stenosis), very long chronicity where adaptive changes have become entrenched, underlying conditions requiring different treatment (infection, tumor, autoimmune disease), and individual variation in peptide metabolism or receptor sensitivity
I started B 12 injections 3 monthly after the loading injections and it helped a little but the fatigue didnt clear as quickly as my doctor expected