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It's Usually Not The High Levels It's How You Process The B12 What's actually driving the side effects most of the time is something intrinsic to how that particular person is processing the vitamin B12

If oral B12 replacement has been trialled in a person with metformin-associated B12 deficiency, I would suggest that a repeat measurement of B12 levels after 812 weeks is a good time to reassess whether absorption is adequate or whether a switch to intramuscular replacement is required

The other, in addition to that program, uses an unapproved peptide that may supercharge tissue regeneration