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In contrast, during chronic or infected wound states, the pH shifts to alkaline levels (pH 79) as a result of microbial activity 53,54
They may get little to no B12 from their food, because vitamin B12 only occurs naturally in animal sources
Persistent or severe symptoms suggest dose reduction or potential sensitivity
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Dosing protocols are highly individualized and should be managed by a clinician with experience in peptide therapy and the specific indication being treated
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