Proton pump inhibitors reduce gastric acid production, which impairs the release of food-bound B12 but has less effect on synthetic B12 in supplements
Results build gradually over months: better sleep first, then body composition, then skin improvements
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However, the information mentioned here should not be used as a replacement for the advice of a qualified physician
While this guidance was directed primarily at hormone therapy, its underlying principle, preferring approved therapies when available, applies to the broader compounded peptide space