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Production of lactic acid via anaerobic metabolism results in an alteration of the normal pH within the IVD and the generation of an acidic environment, favoring an environment for proteinases over cellular proliferation and matrix production

Moezzi et al., 2017)

Purchase peptides from trusted sources, watch for side effects such as gastric symptoms or hormonal changes, and work with a clinician for baseline metabolic testing and follow-up monitoring

For patients on established B12 injection therapy, monitoring is based primarily on clinical response and haematological parameters rather than routine serum B12 measurements, which may remain very high without indicating harm or overtreatment