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The risk is not only potency loss
That is a little different from: Getting B12 from foods like meat, fish, eggs, or dairy Taking B12 by mouth in a pill or liquid form Using sublingual B12 that dissolves under the tongue None of these options is always better for everyone
What Patients Actually Report Anecdotally (and I want to underscore that word), compounding pharmacy practice sees: Reduced gut symptoms within 3 to 6 weeks for a meaningful subset of patients Improved tolerance to previously reactive foods in some cases, though this is highly variable and unpredictable Stable symptom maintenance in patients with already-controlled IBD Generally good tolerability with few reported adverse effects These are observational reports, not controlled-trial outcomes
Your presence, thoughts, feelings, and actions have an impact and are worthy of consideration and respect
It is not a drug, supplement, or medical product and is not approved for human or animal use, diagnosis, or treatment
Overall, the biggest complaints revolve around logistics and expectations rather than product safety
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