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4,5 Dietary insufficiency, pernicious anemia (i.e., an autoimmune process that reduces available intrinsic factor and subsequent absorption of vitamin B 12 1,2,6,7 ), and long-term use of metformin or acid-suppressing medications have been implicated in B 12 deficiency

Initial investigations typically include a full blood count (including MCV), serum B12 and folate levels

peptide clinics and compounding pharmacies make AOD9604 available, but its typically labeled for research purposes only to comply with DSHEA (Dietary Supplement Health and Education Act) regulations (FDA compounding context)

if you ingest them, your stomach acid typically destroys them before they can enter your bloodstream to do their work

The study of pernicious anemia patients with relapse of anemia (Figure 10) (53) has shown that the depletion of serum vitamin B-12 after folic acid administration is accompanied by a proportional increase in reticulocyte counts, suggesting that serum vitamin B-12 is diverted into the hematopoietic system to provide the necessary vitamin B-12 coenzyme for methionine production
