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Stress and poor sleep do not directly lower levels, but they increase nutrient demand and can worsen symptoms of existing deficiencies
Consider intramuscular vitamin B 12 injections instead of oral replacement for suspected or confirmed vitamin B 12 deficiency caused by diet if: The person has another condition that may deteriorate rapidly and have a major effect on their quality of life (for example, a neurological or hematological condition such as ataxia or anemia)
Then introduce BPC-157 as the second layer of the stack
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