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Follow-up Repeat broad and inflammation markers after 6-12 weeks if symptoms change or the protocol continues

metformin and proton pump inhibitors may lower B12

That frustration drove me to retrain in longevity and healthspan medicine

Topical NSAIDs have lower systemic absorption, which reduces the risk of gastric issues

In addition to fatigue, a deficiency of B12 can lead to other symptoms like pale skin, headaches, depression, gastrointestinal problems, difficulty concentrating, decreased mental function, mouth and tongue pain or inflammation, and paresthesia in your hands and feet

Good for high-dose peptides where you're injecting large amounts