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Additional risk factors include: Chronic kidney disease : Reduced renal clearance may impair B12 excretion Liver disease : Hepatic dysfunction can disrupt B12 metabolism and storage Myeloproliferative disorders : Certain blood cancers increase B12-binding proteins Concurrent medication use : Some drugs may interact with B12 metabolism, including metformin, proton pump inhibitors, and H2 antagonists Patients with these conditions should have B12 supplementation carefully monitored by their healthcare team https://slcompounding.com/wp-content/uploads/2019/03/6.png Size:50 Grams injectables BPC-157 Side Effects: Headache, Nausea, Anxiety & Long-Term Risks - GoalBMI Wellness

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