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Q: Why is it not approved for medical use

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If a supplier refuses to share a COA, lists prices that are 6090% below US norms, or mixes consumer marketing language with research-only labels, treat that as a hard pass

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Inadequate secretion of intrinsic factor, resulting from lesions that destroy the gastric mucosa (ingestion of corrosives, extensive neoplasia), and a number of conditions associated with a variable degree of gastric atrophy (such as multiple sclerosis, certain endocrine disorders, iron deficiency, and subtotal gastrectomy)

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