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This usually occurs in individuals with underlying digestive conditions, those who have trouble absorbing all nutrients through digestion, or those with pernicious anemia, which specifically prevents B12 absorption

This openness leads to more honest conversations about stress, sleep quality, recovery capacity, and previous treatment experiences that directly shape protocol decisions

Alcohol severely depletes B vitamins over time

Many patients report steady improvements in pain relief, mobility, and function over time as the tissue repairs itself

Obviously, going through med school, we're burning the candle on both ends