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Urbina JA, Payares G, Contreras LM, Liendo A, Sanoja C, Molina J, et al

Screening may be warranted in patients with one or more risk factors, such as gastric or small intestine resections, inflammatory bowel disease, use of metformin for more than four months, use of proton pump inhibitors or histamine H 2 blockers for more than 12 months, vegans or strict vegetarians, and adults older than 75 years

The supplement form offers a needle-free alternative for individuals seeking the proposed benefits without injectable administration, though the absence of human pharmacokinetic data limits dose precision

Mikwar M, MacFarlane AJ, Marchetti F

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