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The IFNB Multiple Sclerosis Study Group

Additional risk factors include: Chronic kidney disease : Reduced renal clearance may impair B12 excretion Liver disease : Hepatic dysfunction can disrupt B12 metabolism and storage Myeloproliferative disorders : Certain blood cancers increase B12-binding proteins Concurrent medication use : Some drugs may interact with B12 metabolism, including metformin, proton pump inhibitors, and H2 antagonists Patients with these conditions should have B12 supplementation carefully monitored by their healthcare team

However, responses can vary, studies are mixed, and arginine can interact with certain cardiovascular medications

Weve also added turmeric extract to help support your bodys natural inflammatory response and prebiotic fiber to feed the beneficial bacteria in your gut