This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation
Ignoring sterility Always use new needles, alcohol wipes, and proper storage (refrigerate vials)
[3] For chronic conditions such as inflammatory bowel disease or persistent gut permeability, longer-duration protocols of eight to twelve weeks have been explored in preclinical literature
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Im always delighted with the results too