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Its naturally found in animal-based foods like meat, poultry, fish, eggs, and dairy and its added to some fortified cereals, plant-based milks, and nutritional yeast [*]

Drug - Food interaction: Avoid taking hot foods/liquids while administering NASO B12 NASAL SPRAY since it may cause nasal secretions and reduce the effect of the medicine

According to the NIH Office of Dietary Supplements, functional B12 deficiency is most commonly seen in patients with one or more of the following: Age over 50 stomach acid production declines with age, and stomach acid is required to free B12 from food PPI or H2 blocker use reflux medications suppress the acid needed for B12 absorption Metformin use, which interferes with B12 absorption directly Vegan or vegetarian diets B12 is found almost exclusively in animal products Gut conditions including celiac, IBS, SIBO, and Crohns MTHFR mutations that affect how B12 is metabolized once absorbed Heavy alcohol use The symptoms of low B12 are easy to dismiss: fatigue, brain fog, low mood, tingling in the hands or feet, weakness, and shortness of breath on mild exertion

Some suppliers sell HGH Frag 176-191 this may or may not include the tyrosine modification, which matters for comparing results across studies