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Hemoglobin electrophoresis was normal with HbA-97.1%, HbF-0%, and HbA2-2.9%

You could just get B12 alone and see how you react to that

Finally, as part of your shoulder rehabilitation, your physical therapist will also remind you about maintaining good shoulder posture at all times even when just sitting or using your upper limb in activities below shoulder height, such as working on the computer

Vitamin B12 shots may be appropriate if you: Have a confirmed or suspected B12 deficiency Follow a plant-based diet with limited B12 sources Experience persistent fatigue, brain fog, or low motivation despite adequate sleep Have a gastrointestinal condition that impairs nutrient absorption Are over 50 and concerned about age-related absorption decline Lipotropic injections may be appropriate if you: Are currently engaged in a structured medical weight loss plan and seeking metabolic support Have a history of sluggish fat loss despite consistent dietary and exercise adherence Want to support liver health and detoxification as part of a broader wellness strategy Are you looking for a complement (not a replacement) to an existing nutrition and fitness regimen Who Should Proceed with Caution

Polycythemia Vera: An increase in red blood cell mass may occur, which needs medical evaluation