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In a UK clinic this is handled for you under proper cold-chain and stock controls
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Vitamin D (if deficient) plays a role in fat metabolism and should be optimized before starting any fat loss protocol
Diagnosis typically includes testing for anti-intrinsic factor antibodies (and sometimes anti-parietal cell antibodies)
Both are forms of B12 used in injections: Cyanocobalamin : Synthetic form, more stable, commonly used in IV Therapy / Longevity clinics Methylcobalamin : Active form of B12, may be better absorbed by some people
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