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Home measuring equipment (syringes, droppers, kitchen scales) introduces enough variance that hitting 0.9% precisely is difficult to verify without analytical chemistry equipment

Additional analysis of the demographic and clinical data from this study did not provide an explanation for the apparent delayed response

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Individuals at risk of vitamin B12 deficiency include older adults, people with gastrointestinal disorders, those who have had gastrointestinal surgeries, individuals on a strict vegan diet, individuals who take metformin for blood sugar control, and people taking proton pump inhibitors for chronic heartburn

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