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That is because it is simply not part of any routine screening protocol

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Situations where peptide therapy is typically deferred or used cautiously include pregnancy, breastfeeding, history of certain cancers, uncontrolled autoimmune disease, severe liver or kidney disease, and active eating disorders

It is a compounded medication made by specialized pharmacies, so you can only obtain it legally with a doctors prescription through a 503A compounding pharmacy

As humans are not able to synthesize B12 in vivo and predominantly rely on B12 from diets, the analysis of B12 in foods is essential for identifying B12-rich dietary sources as well as for monitoring the daily intakes