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Isolated pyridoxine deficiency is rare

Comparing the actual trial data, rather than the marketing claims built on top of it, is the clearest way to answer the does AOD-9604 work question directly

[Crossref] Kuzminski AM, Del Giacco EJ, Allen RH, Stabler SP, Lindenbaum J (1998) Effective treatment of cobalamin deficiency with oral cobalamin

Beyond the rare conditions above, a few groups should have a detailed conversation with a provider before starting

A vegetarian or vegan diet can see Vitamin B12 levels drop Long-term use of antibiotics, peptic ulcer treatments and some diabetes medication can reduce levels of B2, B9, and B12

Some individuals may experience mild discomfort, swelling or redness at the injection site