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Commensal bacteria like Lactobacillus and Bifidobacterium don't require much iron to grow

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Properly stored lyophilized powder can last 12 months or longer at refrigerator temperatures, and some peptide manufacturers report stability beyond that

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[12] Gastric acid-suppressing agents (proton-pump inhibitors and H-receptor antagonists) diminish dietary B12 liberation from protein complexes, a pharmacodynamic interaction that can exacerbate underlying deficiency

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A deficiency in folic acid can cause a variety of hematologic complications including megaloblastic and macrocytic anemias

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