Treatments like Sculptra injections may include localized pain, swelling, or bruising, but these are generally mild and temporary
Gently aspirate by pulling back slightly on the plunger to check for blood: If blood appears , stop, withdraw, and restart in a new spot
However, older adults, those on certain medications or with gastrointestinal issues, and people who follow a plant-based diet may be more at risk of deficiency
Indeed, preclinical and clinical studies evidence beneficial effects of trimetazidine not only on mitochondrial energy metabolism but also on inflammation and oxidative stress compared to saline or vehicle [131, 132]
If your diet does not provide B12 vitamins at all typical of those on a vegetarian or vegan diet you may need to take B12 tablets for the rest of your life