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B12 deficiency can only be diagnosed by your GP, as as well as assessing your clinical signs and symptoms they will also take a blood test to monitor the levels of B12 in your blood
If it appears cloudy or has particles, it may indicate contamination, incomplete dissolving, or degradation of the peptide
Critically, two of the efficacy studies were long-term investigations extending up to 24 weeks, providing meaningful data on sustained exposure safety