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It is used in the treatment and prevention of vitamin B12 deficiency in patients with conditions such as:_ Addisonian (pernicious) anemia Malabsorption Atrophic gastritis Prolonged treatment with metformin Small bowel bacterial overgrowth (SIBO) Total or partial gastrectomy Infection with the fish parasite Diphyllobothrium latum Helicobacter pylori infection Pancreatic dysfunction Pancreatic or bowel malignancy Dietary deficiency (e.g

While individual variation exists, complete absence of any effect at 4mg or higher suggests a calculation issue or a peptide potency problem

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Shadowing: Shadowing under the eyes can occur due to structural variations such as tear trough deformity, which can create the illusion of darker circles