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This question comes up constantly in my practice

However, human safety profiles are unknown , as these compounds have not undergone comprehensive clinical evaluation

An undated opened vial is an unusable vial, because you cannot establish where it sits in the window

A deficiency in vitamin B12 is the most common nutritional deficiency in patients who have had gastric bypass surgery (114), but deficiencies of folate, pyridoxine, thiamine, vitamin D, copper, zinc, iron, and calcium may also occur (202

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It is not an approved drug, food, or dietary supplement and is not intended for human or animal consumption