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Al Rajabi A 1 , Castro GS, da Silva RP, Nelson RC, Thiesen A, Vannucchi H, Vine DF, Proctor SD, Field CJ, Curtis JM, Jacobs RL

Urinary or plasma methylmalonic acid (MMA), a substance produced in the body thats dependent on B12, is also helpful for detecting early stages of B12 deficiency

If you're combining the two, the protocols that seem to work involve diluting the copper peptide product, using it no more than once weekly after needling, and starting with conservative needle depths (0.5mm, not 1.5mm)
Whether these adaptations would be beneficial, neutral, or potentially problematic depends on factors that current research cannot address

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It can also help normalize testosterone levels
