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This is especially true for vegetarians and vegans, who should work with their healthcare provider to develop an appropriate supplementation strategy

The shedding is usually temporary, with regrowth occurring once weight stabilizes

People with the following should discuss risks carefully with a medical professional: Liver disease Kidney disease Pernicious anemia Known allergies to any ingredient in the formulation Pregnancy or breastfeeding (safety not well-studied avoid unless prescribed) Because ingredients differ between providers, always verify the formulation and follow prescribed dosing to minimize risk

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