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Description
There is mounting evidence that elevated plasma homocysteine (and therefore decreased serum methionine) contributes to congenital neural tube defects

This is because a doctor must show a duty of care to a patient and failure to do so may lead to claims of negligence

Large amounts close to meals or in one short window are often the simplest explanation

For stacking with Tirzepatide, most protocols use the no-DAC version because it creates more physiological pulsatile GH release patterns

Depending on gut health and other intrinsic factors, your body absorbs about 50% of small B12 doses (under 2 mcg) and around 12% of large doses (5001,000 mcg)
