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10.4292/wjgpt.v11.i5.93 13 Berra-RomaniR.Avelino-CruzJ

Ailments like anemia and undergone gastrointestinal surgery patients also will not have absorption ability

When the liver is damaged or under strain, it may release more B12 into the bloodstream

Major limitations include the lack of large human clinical trials, limited pharmacokinetic data, sparse toxicology research, and a shortage of direct combination studies

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Unsure whether the change was due to needing a higher dose or receiving a less potent product, the user questioned whether the new vial was "dodgy." The post highlights the uncertainty patients face when using drugs from the unregulated supply chain