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Some high risk groups for vitamin B12 deficiency include: elderly people- often stomach acid production decreases with age individuals who have had intestinal surgery such as weight loss surgery or laparoscopies individuals with GI issues including celiac disease, IBD, IBS (MOST OF YOU!!!) those following a vegetarian or vegan diet- due to the lack of animal protein eaten (one of the main sources of B12) individuals with pernicious anemia- do not make intrinsic factor Notice how a fair amount of the high risk individuals are those with some sort of intestinal issue

however, over the remaining 4 years the volume of patients remained stable

Serious safety concerns (immune reactions, cancer risk)

Quick tip: Save the vial label and any written instructions before an appointment

Document strength values for consistent laboratory record keeping

Active infections: Peptide therapy during active infections is not recommended, as the immune-modulating effects could theoretically interfere with the body response to the infection