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Metformin, the first-line oral glucose-lowering agent recommended by NICE for type 2 diabetes (NG28), is well established as a cause of B12 malabsorption

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In fact, women on estrogen replacement may see a stronger GH response to the peptide protocol because estrogen enhances pituitary GH sensitivity, which means dosing may need to be adjusted accordingly

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Additionally, many processed foods are either formulated with gluten or are cross-contaminated, and carefully checking product labels is crucial

Recommended adult starting serving is 1/2 - 1 teaspoon