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If I understand rightly you haven't an absorption problem.So once on supplements or a richer B12 diet you can store and utilise b12 from your liver

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OT and AVP: The neuropeptide hormones OT and AVP belong to the same superfamily, and genetic variants in OXT , OXTR , arginine vasopressin receptor 1a ( AVPR1a ) and CD38 (lately demonstrated as essentiall for social behaviour because it mediates oxytocin secretion) have been verified to be associated with autism

Our Healthcare providers at Rivas Medical Weight Loss carefully consider these factors when prescribing GLP-1 agonists to ensure optimal efficacy and minimize potential side effects