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Laboratory evaluation typically includes serum vitamin B12 levels, with values below 200 pg/mL generally indicating deficiency and levels between 200-300 pg/mL considered borderline, though laboratory reference ranges may vary

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Again, the dose in compounded formulations is small, and whether it meaningfully affects glutathione status remains speculative

Individuals with active cancer or a history of malignancy should avoid the peptide unless under medical supervision, as effects on tumor growth have not been adequately studied

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