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Neomycin, colchicine, para-aminosalicylic acid, or excessive alcohol intake longer than two weeks may cause malabsorption of vitamin B12. Chloramphenicol and other drugs having bone marrow suppressant properties may cause a lack of therapeutic response to vitamin B12

The absence of early response does not indicate treatment failure

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However, individual timelines vary based on dosage protocol, the severity of the condition being treated, the quality of the peptide product used, and whether the therapy is administered under medical supervision

It works locally at the cellular level to repair tissue, reduce inflammation, and reset gene expression