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Patients with pancreatic insufficiency may have reduced cobalamin absorption (because pancreatic enzymes normally assist with the displacement of salivary haptocorrin binding protein by intrinsic factor), although such patients rarely become cobalamin deficient
When combining peptides, starting with conservative doses and gradually adjusting based on response is advisable
Blood tests can show if you lack vitamin B12
This makes it an appealing option for patients seeking gentler support
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