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The most common causes include B12 supplementation (particularly injections), liver disease releasing stored B12, haematological disorders increasing B12-binding proteins, and chronic kidney disease reducing B12 excretion
Typical guidelines for room-temperature-stable lipotropic injections: Store between 68F and 77F (20C to 25C)
It is to identify what may be interfering with healthy growth and create a plan that fits the individual
Medications that alter stomach acid, such as proton pump inhibitors (PPIs) and H2 blockers, as well as the diabetes medication Metformin, can significantly impair the absorption of B12 in the digestive tract
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