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People with digestive conditions such as Crohn's disease, celiac disease, or other inflammatory bowel conditions often have a compromised gut lining and cannot absorb oral B12 efficiently

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The same principle applies when using a smaller vial

Always include neuromuscular / proprioception work thats what protects your knee long term

It also captures exposure to supplements, fortified products, energy products, and injections with their timing, the symptoms and examination findings, the comorbidities, and the related laboratory results reviewed, followed by the plan, its rationale, and clear safety-net instructions