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If left untreated, a vitamin B12 deficiency can cause weakness, exhaustion, anemia, and even nerve issues

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If you do not have severe neurological symptoms, however, research suggests that very high-dose oral supplementation (typically 1,000 mcg daily) can effectively treat B-12 deficiency even in people who have compromised absorption due to lack intrinsic factor (a cause of "pernicious anemia") or from gastrointestinal disease or bowel resection (Lacombe, Am J Clin Nutr 2024

Many of the members of the FDA's Pharmacy Compounding Advisory Committee have ties to the peptide industry, according to reports from NPR, raising concerns of bias in evaluation of the evidence for or against the use of peptides in compounding pharmacies