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This delivers the highest local concentration but can be difficult to perform on yourself

So let me give you a clear, honest, evidence-based look at what we actually know, what remains uncertain, and what I tell my patients when they ask about it

Then, we'll review your medical history, looking at things like your diet (especially if you're vegan or vegetarian), your age, any stomach or gut conditions, past surgeries, and even the medicines you take, like metformin or proton pump inhibitors, which can sometimes affect B12 levels

It potentially could, as you are introducing multiple signaling molecules

Dear Dona, Frankie, and Jellybean Great question and a very timely one