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Endogenous causes (medical conditions) When B12 is elevated without supplementation , it can indicate that the body is releasing stored B12 from damaged tissues, producing excess B12-binding proteins, or failing to clear B12 normally

Are athletes or physically active people at higher risk of deficiency

The peptide stimulates expression of early growth response 1 (EGR-1) gene, which regulates cytokine and growth factor generation along with early extracellular matrix formation, while simultaneously inducing its repressor NAB2 to prevent excessive angiogenic signaling

COA documentation

Research has shown that even in people without any underlying health conditions, when taking a 500 microgram oral supplement, only 10 micrograms (or 2%) is absorbed (Carmel, 2008)

Your metabolism feels broken, your energy levels have tanked, and you are starting to wonder if your body simply refuses to cooperate with your goals