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During your visit, our providers take the time to evaluate your health history and symptoms to determine the ideal frequency for your B12 therapy

This benefits people with low stomach acid (including many people over the age of 50) or those who take acid blockers such as Pepcid or Zantac, or proton pump inhibitors such as Prevacid, or Prilosec, who are at an increased risk for B-12 deficiency

Protein Synthesis: B12 plays a role in protein metabolism, which is vital for muscle repair and growth

In addition, nicotinamide, the primary NNMT substrate 95,96 , is broken down by Lactobacillus arabinosis into nicotinic acid and ammonia 56

While testosterone primarily increases muscle protein synthesis and reduces fat through androgen receptor activation, GH promotes lipolysis and collagen synthesis through separate pathways (Gibney et al., 2005)

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