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Exosome therapy generally costs more, while stem cell therapy is usually the most expensive due to harvesting and processing

Here's what current research says about both options

The benefits of vitamin shots may vary depending on the specific vitamins and minerals being administered

Some patients feel as though they want more frequent injections, and occasionally we test levels to see if they are receiving adequate replacement, but Im not sure how strong the evidence is to support this. GPs should consider periodic vitamin B12 testing of higher-risk patients who take metformin, even if they dont display symptoms of deficiency, the UK medicines regulator said earlier this year

Methylmalonic acid (MMA) and homocysteine : These biomarkers rise when B12 levels are low, often before serum B12 drops, helping to detect deficiencies