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If those things are missing, the product isn't a legitimate UK medicine

Those at a higher risk for developing a deficiency in Vitamin B12 levels include older adults, people with pernicious anemia, people with low stomach acid, people with malabsorption problems due to digestive problems such as IBS, gastritis, Colitis and Crohns (Ref) and certain medications

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In pig models of intestinal injury, oral BPC-157 reduced inflammatory markers and sealed epithelial gaps within days , translating into fewer symptoms like bloating, gas, and food sensitivities