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Hematologic disorders like chronic myelogenous leukemia, promyelocytic leukemia, polycythemia vera and also the hypereosinophilic syndrome can result in elevated levels of cobalamin

A synthetic peptide thats been in the news lately is semaglutide, aka GLP-1s (like Ozempic or Wegovy)

Some may experience instant pain relief while others wait for days or weeks

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