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The proposed mechanismsenhanced hepatic fat metabolism and increased lipolysislack robust human evidence

For mild deficiencies or maintenance, oral B12 supplements or tablets may sometimes be appropriate and can often be purchased elsewhere

Compounded medications or peptides, if prescribed, are not FDA-approved and may be prepared by state-licensed 503A compounding pharmacies based on individual patient needs

One study in 1998 compared ketoconazole shampoo 2% to the proven hair loss drug minoxidil in men with androgenic alopecia and concluded that hair density, size, and proportion of anagen follicles were improved almost similarly by both ketoconazole and 2% minoxidil regimens 10

These are the ones patients most often brush off

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