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Even considering all of these factors you need to understand that checking vitamin B12 levels in the serum still isnt the best way to evaluate for B12 deficiency

However, if you do have blood work done note that the drawback is that the current widely used test to check B12 levels only measures the total amount o vitamin B12 in your blood, meaning, it measures the forms of active B12 which your body can use and process as well as the inactive forms which cannot

And I have to crank that thing up for a while until it's maxed, and then I have to sit in there for an hour at least

This is precisely the theoretical promise that certain peptides bring to autoimmune research

Recently, it has also been showed that enhancing antioxidant pathways can be helpful in reduce ED in uremia and a possible target for lowering the cardiovascular risk of kidney disease [140]

Likely most clear-cut peptide success given Thymosin Beta-4 evidence for corneal applications