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Who may need high dosages of B12: People with absorption difficulties due to insufficient stomach acid, lack of intrinsic factor (pernicious anemia), or gastrointestinal surgery 6 Vegans/strict vegetarians People affected by certain genetic variants, e.g

[25] demonstrated that inflammatory processes in the paw correlate with a spinal increase in nitric oxide (NO) production

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Important caveat: human efficacy is unproven

Unlike vitamin D, B12 is not produced by the body and must be obtained from diet or supplements

This program may include compounded medications that are clinical substitutions of brand name medications compounded by licensed compounding pharmacies under section 503A