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Comment: Some commenters expressed concern that factors outside of an REH's control (such as weather or transportation barriers) may impact measure performance

Vitamin b12 levels are checked through a blood test

The reason is physiological, not arbitrary

While preclinical research and anecdotal reports are promising, human studies are extremely limited, and safety profiles remain uncertain

Cardenass oversight, we validate indications and contraindications, manage comorbidities (e.g., diabetes, vascular disease), and coordinate with evidence-based protocols

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