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According to the British Nutrition Foundation, dietary deficiency is rare but it can sometimes occur in vegans who obtain virtually no B12 in their diet

This could alter the peptides effects and is not the intended protocol

Likewise, autoimmune conditions that affect the stomach lining, such as atrophic gastritis or pernicious anemia, directly impact intrinsic factora protein essential for B12 absorption

These can be helpful for people who have issues swallowing, Cording says

Injections trade daily effort for a periodic visit

Some people report improvements in recovery and comfort within a few weeks, while others may require a longer period to experience meaningful results