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Are there clinical features of liver disease, myeloproliferative disorder (e.g., blood film changes of unexplained cytopenia, thrombocytosis, or leukocytosis), or another cancer (e.g., cachexia, constitutional symptoms fever, weight loss, night sweats)

Accept only B12 shots

Vitamin B12 is an essential nutrient that plays a role in energy production, brain health, and red blood cell formation

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Patients with vegan diets, post-bariatric history, or absorption challenges who need consistent repletion

It is important not to freeze the solution, as this can negatively affect the peptides structure and efficacy