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Patients who are uncomfortable with compounded products can discuss brand-name alternatives with their prescribers, though the brand-name versions do not include glycine or B12 and require separate supplementation to address those concerns

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These include: Older adults on PPIs or H2 receptor antagonists Diabetic patients on metformin for a long time People with gut disorders that affect nutrient absorption Its important to check these individuals B12 levels to avoid deficiency