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It is also used to treat pernicious anemia, vitamin B 12 deficiency (due to low intake from food or inability to absorb due to genetic or other factors), thyrotoxicosis, hemorrhage, malignancy, liver disease and kidney disease

Paired with probiotics, and with a strain like Akkermansia muciniphila , it rounds out a more complete approach to digestive wellness, covering both the microbiome and the gut's structure

Always work with a licensed medical provider, never with unregulated online vendors

They can perform a blood test to check your B12 levels and determine if you would benefit from B12 injections

Discard vials according to recommended time based safety guidelines

References Kraus D, Yang Q, Kong D, et al