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Seek out a doctor, ideally one with experience in functional medicine, longevity, or peptide therapies

Individuals with Gastrointestinal Disorders: Such as Crohns disease, celiac disease, atrophic gastritis, or those who have had gastric bypass surgery or other stomach/intestinal resections, which can interfere with B12 absorption

Johnson WE, Caterson B, Eisenstein SM, Hynds DL, Snow DM, Roberts S

Unfortunately, in this study, no analysis with respect to fracture type and involvement of both endplates and extent of endplate damage was done

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Meal timing relative to lying down matters considerably