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Because this is a powerful compound that influences core metabolic pathways, its use requires a thoughtful approach

It contains no artificial perfumes, no color or dye and no harsh chemicals that can upset your skin, making it perfect even for sensitive skin

The skin and mucous membranes are often bypassed, so that pallor, abnormal pigmentation, icterus, spider nevi, petechiae, purpura, angiomas, ulcerations, palmar erythema, coarseness of hair, puffiness of the face, thinning of the lateral aspects of the eyebrows, and nail defects are missed in the rush to examine the heart and the lungs (Maakaron & Besa, 2021)

Individuals who follow a vegetarian or vegan diet often have low dietary intake of B12, which can result in vitamin B12 deficiency

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Up to 50% of patients will develop a neuropathy and it can occur relatively early on in the first few courses, typically plateauing by cycle five