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[DOI] [PubMed] [Google Scholar] 21.Khan A.R., Liu M., Khan M.W., Zhai G

Screening elderly populations for cobalamin (vitamin B12) deficiency using the urinary methylmalonic acid assay by gas chromatography mass spectrometry

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(Its not clear if the peptides were responsible for the symptoms.) Considering the skin-darkening peptide melanotan II (sometimes called the Barbie peptide)

While anyone with a B12 deficiency can benefit from injections, certain groups are more likely to require this treatment, including vegetarians and vegans who may not consume enough B12-rich foods, individuals with digestive disorders like Crohns disease or coeliac disease, those with pernicious anaemia that affects B12 absorption, people recovering from weight loss surgery or other gastrointestinal procedures, older adults whose ability to absorb B12 decreases with age, and individuals experiencing prolonged fatigue or low energy levels

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