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It all boils down to the need of the patient, even when the injectables are good but oral supplements are also acceptable depending on the needs of the patient
ISBN 978-0-12-709859-3
Certain health conditions that affect the gut, like Crohns or celiac disease, can also make absorption a major challenge
They look for signs like better blood counts and less nerve problems
(Most responsible clinics have an off-ramp, not endless cycling) How do you protect lean mass
Sometimes the elevated B12 is a flag pointing at something else most commonly mast cell activation syndrome that's been driving the symptoms all along
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