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You can spray together or take separately throughout the day, but you may find it more convenient to take all together

Some autoimmune diseases can affect B12 metabolism or produce antibodies that interfere with B12 assays, potentially leading to falsely elevated readings

similarly, while the niacinamide in this compounded B-Complex is in a moderate dose, caution is advised in patients with untreated peptic ulcers or significant hepatic impairment, as even moderate niacin supplementation could aggravate these conditions (e.g

1,2 It is coabsorbed with intrinsic factor, a product of the stomach's parietal cells, in the terminal ileum after being extracted by gastric acid 1,2 (Figure 1 3 )

Avoid introducing air into the cartridge during the transfer to maintain dose accuracy across the cartridge lifespan

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