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Researchers are studying this pathway for possible effects on fat tissue, NAD+, and metabolism, but human benefits are not established

In the alkaline environment of the small intestine, R-proteins are degraded by pancreatic enzymes, freeing vitamin B 12 to bind to intrinsic factor (IF), a protein secreted by specialized cells in the stomach (parietal cells)

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Warning signs include profound muscle weakness, severe fatigue, or abnormal heart rhythms

So, in Picture 7, you see a list of symptoms reported by one of my patients

On the RxPepsDirect protocol, the starting dose is 25 units (1.5 mg) twice weekly drawn from a 6 mg/mL starter vial