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We prescribe most of our peptide therapies in cycles

Chronic inflammation and impaired tissue repair are common issues for people trying to stay active, especially if their hormone levels or metabolism are off track

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Those most at risk include vegans and vegetarians, people with digestive conditions such as Crohn's disease, coeliac disease or IBS, those taking long-term metformin or proton pump inhibitors, older adults whose ability to absorb B12 through the gut declines naturally with age, those with pernicious anaemia, and anyone with a history of chronic alcohol use

Since the following day Ive had chest pain and tightness, elevated heart rate and back pain