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How do we know that we have a B12 deficiency

In advanced liver disease, serum B12 levels can appear misleadingly normal or even elevated due to increased binding proteins and reduced clearance, despite actual tissue deficiency

Others may opt for treatments every few months or more frequently when working toward specific goals

Hepatology 63, 11901204 (2016)

Understanding how it actually works at a biological level, not just what it is claimed to do, is the foundation for making any responsible clinical decision about whether it belongs in a protocol

Substances that commonly require the care of a detox center include heroin, prescription painkillers, methamphetamine, benzodiazepines (psychoactive drugs), and alcohol