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Use when macrocytosis is secondary to: Chronic liver disease CKD Malignancy Chronic inflammatory state Sequencing rule: Underlying condition first

I recommend consuming probiotic-rich foods and drinks, such as pickles, kimchi, sauerkraut, fermented foods, coconut kefir, and kombucha

The finding that 88% of medications retained potency well beyond expiration dates does not apply to peptide drugs, which are inherently less stable than conventional small molecules