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Conditions such as pernicious anaemia (an autoimmune condition affecting intrinsic factor production, which should be confirmed with intrinsic factor antibody testing), Crohn's disease, coeliac disease, and those who have undergone gastric surgery (including bariatric procedures) may have severely impaired B12 absorption

Theres often no apparent rhyme or reason to the wellness peptide doses people are taking. Quality Control is Important Even the contents of the vial may be uncertain

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2 Absorption decreases with increasing doses