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[DOI] [PubMed] [Google Scholar] David LA, Maurice CF, Carmody RN, Gootenberg DB, Button JE, Wolfe BE, Ling AV, Devlin AS, Varma Y, Fischbach MA, Biddinger SB, Dutton RJ, Turnbaugh PJ

They generally include coaching with a pharmacist or nurse who provides nutrition and health information, as well as information on lifestyle and exercise

However, some people cannot take vitamin B12 injections safely, including those with Lebers disease or similar eye concerns, kidney disease, liver disease, iron or folic acid deficiency, an active infection, or those taking medications that may interact with vitamin B12

Reader action: Treat spicule products as one input in a routine that also includes barrier support, not a shortcut that replaces it