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Your diet is another major factor

This synthetic vitamin B12 is the same type found in fortified cereals, so you may have ingested man-made vitamin B12 in your life already

Studies show that vegans, and even some vegetarians, require B12-fortified foods or supplements to meet their daily needs[10]

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Persistent nausea that impairs daily life is not, regardless of results

Immunogenicity: No Antibody Formation A critical safety consideration for any peptide therapy is immunogenicity, the potential to trigger immune system responses that could lead to allergic reactions, reduced efficacy through antibody neutralization, or autoimmune complications