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Selection depends on the patients clinical picture for example, gut symptoms vs joint recovery vs cognitive concerns

However, MMA levels can be elevated in those with thyroid and kidney conditions, which limits the tests specificity (9, 10)

Patients on Metformin : Patients with type 2 diabetes treated with metformin may experience reduced vitamin B12 absorption

This is of particular risk in chronic recreational users of nitrous oxide

Flat Dosing Reference Chart The table below shows standard flat dose recommendations without weight adjustment, which represents how most practitioners approach GHK-CU

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