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After a dose of antibiotics, dealing with chronic GI conditions, or GI surgery, the good bacteria in your gut can be diminished or even relocated

however, in the ileum there is diffuse, circumferential ulceration and subepithelial hemorrhage that extends 15 cm

A deficiency in B12 can lead to neurological problems, including nerve pain

Also note that high intake of folic acid can mask B12 deficiency and exacerbate anemia

Commonly reported side effects from peptide use include mild injection site reactions (redness, discomfort), temporary fatigue, headache, and occasional nausea