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As pharmacist Suzy Cohen says in her book Drug Muggers: Which Medications Are Robbing Your Body of Essential Nutrients and Natural Ways to Restore Them, Any medication, whether its listed here or not, that goes through your liver can increase your requirements for this nutrient

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Shaking creates foam, which means air bubbles trapped against peptide molecules

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Therefore, people following plant-based diets are at the greatest risk of insufficient B12 intake and are among the most likely to benefit meaningfully from a regular wellness injection