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Gastric or bariatric surgery : Patients who have undergone weight loss surgeries such as gastric or bariatric surgery may experience B12 deficiency due to the unavailability of intrinsic factor after gastric or intestinal resection

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Nasal spray users often dose morning and early evening, while oral capsule users might prefer morning and bedtime administration

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These are, in effect, competing engineering goals, because the hydrophobic modifications that extend half-life can also promote aggregation

It is always advisable to consult your doctor before considering any peptide therapy or treatment.