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When we use oral B12, we look at the patients health and why they might not absorb B12 well

PubMed 18061177 PMC2431115 TB-4 / TB-500 product mislabeling documented bidirectional mislabeling between full-length TB-4 (43 aa) and the TB-500 fragment (residues 1723) in marketed peptide products: Esposito M et al

It is important to note that if your body is well-nourished and not deficient in vitamin B12, adding a supplement will not improve the health of your skin, hair, or nails

Patients on those medications should only receive B-Complex injections with close monitoring (and dosage adjustments of the anticonvulsant if needed)