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Future research is needed to customize fiber-based interventions for the various displays of this multifactorial disease

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The timeframe for B12 levels to increase following supplementation varies considerably depending on the severity of deficiency, route of administration, dosage, and individual absorption capacity

Additionally, the lack of federal regulatory oversight around compounded peptide products which are not subject to the same strict manufacturing and purity standards as FDA-approved drugs allows for safety concerns, such as potential risks of sterility issues, inaccurate dosages, unknown side effects, and product contamination