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The compound is not FDA-approved for any indication, but it is legally dispensed in the United States through 503A compounding pharmacies under a prescriber's order
"Pernicious" means "harmful" or "destructive." This type of B12 deficiency anemia can affect many body systems and cause problems in your gut, heart, and muscles
doi:10.1016/j.ecoenv.2025.118043
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