Other groups who may benefit include: Patients following gastric surgery (gastrectomy, bariatric procedures) where intrinsic factor production or absorption sites are compromised Individuals with malabsorption disorders such as Crohn's disease, coeliac disease, or chronic pancreatitis Strict vegans and vegetarians with dietary insufficiency, though oral supplementation is usually tried first Elderly patients with atrophic gastritis or reduced gastric acid production Patients on long-term metformin or proton pump inhibitors, which can impair B12 absorption [6] [8] Individuals with nitrous oxide exposure (recreational or medical), which can cause functional B12 deficiency Diagnosis typically involves serum B12 measurement, with levels below approximately 148 pmol/L (though thresholds vary between laboratories) generally indicating deficiency

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Scientifically Proven Our spray supplement improves sleep, pain and depression in mild to moderate chronic pain patients
Helps preserve lean muscle mass
Improve focus & mental clarity Protect against degenerative disease Alternative to addiction treatment Avoid medication side-effects Studies show that these treatments work best with 4 consecutive infusions
Emideltide (Delta Sleep-Inducing Peptide, or DSIP) What Happens Next