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For example, for patients considering stem cell treatment for lupus in the USA, it is important to understand that availability may be limited to clinical trials or tightly regulated programs

One of the most common causes is pernicious anaemia - an autoimmune disease that affects the bodys absorption of B12 from foods
Some patients on GLP-1 therapy see regain when stopped if dietary habits weren't changed this is a habits issue, not a compound dependency

Alcoholism impairs B12 status, so counsel on alcohol use

Friedman thinks the tide is turning in favor of personalized medicine using compounded preparations