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We would welcome a regulatory framework that restores access while simultaneously creating a pathway for real clinical data collection

In MS, the immune system can attack the cells responsible for B12 absorption, while thyroid disorders can disrupt hormones that influence B12 metabolism

213 The microbiota predominantly consists of bacteria, with smaller populations of fungi, viruses, archaea, and protozoa

Because high-quality human data are limited, there is no universally accepted clearance time, so we emphasize individualized dosing, careful monitoring, and regular re-evaluation rather than assuming it is quickly or completely out of the system after a set number of days

Reported by Dustin Newman, Laboratory Director Approved by Tori Johnson, Operations Manager Vanguard Laboratory, Olympia WA July 18, 2025