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This suggests that the current recommendation for vitamin B12 is likely not high enough

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Because GHK-Cu vials are large (often 50100 mg), the resulting concentration is high a 100 mg vial in 2 mL is 50 mg/mL

3.Should we be checking other biomarkers like methylmalonic acid (MMA) or homocysteine to ensure my cells are actually getting enough B12

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In the face of little or no gain in communication, experienced practitioners will search for other co-morbidities or provide supplements to enhance the intervention