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In most food sources, B12 is bound to a protein molecule released by the metabolic activity of hydrochloric acid and other enzymes in the stomach

Distinguishing between these requires controlled conditions and objective markers, neither of which most patients track

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This is a legal gray area for the seller and carries real risk for the buyer: no prescriber oversight, no pharmaceutical-grade purity standards, and products are often misrepresented in concentration or sterility

There is no approved evidence for human use

If bleeding is present with an open cervical os, then a miscarriage is inevitable