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Mathialagan et al., 2018)

Improper storage can accelerate degradation, leading to a loss of potency

Vegans and vegetarians who do not get enough vitamin B12 from their diet

Many packaging strategies today were built for a different type of consumer one who bought larger portions, relied on multi-serve formats, and valued volume as a form of convenience

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Before starting, patients should undergo baseline bloodwork including oxidative stress markers, liver and kidney function, inflammatory cytokines, and ideally genetic assessment in glutathione metabolism pathways