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It is important to understand that these regimens vary dramatically between clinics, and quality control, compounding standards, and medical oversight strongly influence both safety outcomes and patient results

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He will also ask about any underlying health conditions that can impact B12 absorption, such as digestive disorders (like Crohns disease or celiac disease), past surgeries (including gastric bypass), or dietary patterns common in families, such as vegetarian or vegan diets

doi: 10.1016/j.fas.2013.08.001