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Clearer compounding access supports Enhanceds model of providing regulated, physician-overseen performance and recovery protocols, particularly relevant for athletes, biohackers, and consumers interested in injury recovery, inflammation control, and tissue repair

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Treatment should start urgently and should not be delayed for laboratory confirmation if neurological features strongly suggest B12 deficiency

From a delivery standpoint, the dense ECM and variable scalp permeability argue for work on formulation science, micro-needling-assisted delivery, or depot platforms to maximize follicular bioavailability while minimizing systemic exposure