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Thankfully my GP also showed my 23 yr okd daughter how to inject my B12
the documented protocol is monotherapy
Im happy with the results so far, my appetite hasnt noticably changed I have been intermittent fasting and I was taking XXXXXXX and XXXXXXX that really jump started my weight loss
Decreased stomach acid production also provides an environment conducive to the overgrowth of anaerobic bacteria in the stomach, which further interferes with vitamin B 12 absorption (3)
The additional cost and complexity seem justified for chronic cases, though straightforward acute injuries may respond perfectly well to BPC-157 alone