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Between 1.5% and 15% of the public has a vitamin B12 deficiency, and certain groups are at a higher risk: Older Adults : As we age, our bodies may produce less stomach acid, which is necessary to absorb B12 from food

It can also make food shifts and gut therapies work better

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Endotoxins are bacterial byproducts that can trigger significant systemic reactionsand I have unfortunately seen patients become quite ill from contaminated products sourced on the black market

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In making this decision, factors such as the drug used, the injection volume, and patient preference should be taken into account