B12 has been shown to improve sperm count and motility, which can increase the chances of conception
We recommend following up these patients closely to develop better recommendations for management based on long-term outcome data for example by cardiovascular screening every 25 years and assessments of quality of life by questionnaires
While effective, this approach carries risks including supraphysiological hormone levels, suppression of natural GH production, and side effects such as fluid retention, joint pain, carpal tunnel syndrome, and potential insulin resistance
These changes correlate with weight loss magnitude, particularly reduction in visceral adiposity and neck circumference
Note: For patients also dealing with open pores or dullness, combining glutathione IV therapy with open pores laser treatment can deliver a comprehensive skin renewal effect