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Vitamin B12 Deficiency Causes of vitamin B12 deficiency include difficulty absorbing vitamin B12 from food, lack of intrinsic factor (e.g., because of pernicious anemia), surgery in the gastrointestinal tract, prolonged use of certain medications (e.g., metformin or proton pump inhibitors), and dietary deficiency
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Many of the peptides being marketed for injury recovery are: Not FDAapproved Compounded without standardized dosing oversight Purchased online Not subject to the same manufacturing controls as approved medications Competitive athletes should also know that many growthhormone–related compounds are WADAprohibited