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Human pituitary responsiveness to secretagogues is also affected by age, sex, body composition, and somatostatin tone, none of which are controlled for in typical compounding protocols
Without intrinsic factor, B12 would not be able to be absorbed
People on vegan or strict plant-based diets need a reliable source from fortified foods (nutritional yeast, fortified plant milks, certain breakfast cereals) or a supplement
Since the condition it treats demands professional diagnosis and lifelong oversight, the legal requirement for a doctors supervision remains in place
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