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Acknowledgments The authors would like to thank Pat Kornic and the Pernicious Anaemia/B12 Deficiency Support Group and Tracey Witty and the B12 Info group ( Notes Funding There was no funding for this study

A peptide prescribed within a legitimate medical framework is not the same thing as a peptide vial sold from a website that borrows scientific language while bypassing the standards that make medicine safer

Certain probiotic strains can also bind directly to harmful substances such as aflatoxins (mycotoxins produced by mould on food crops), preventing their absorption

Human immunogenicity studies were not identified

P value less than 0.05 was considered statistically significant

Folate is a B vitamin