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Therapy for a vitamin B12 deficiency If a vitamin B12 deficiency is detected in the blood via holotranscobalamin, the first question to be clarified is whether there are any dietary causes for this (vegetarian, vegan, malnutrition) or whether there is medication that favors this, such as metformin or acid blockers

Not the vague, hand-waving kind you find on most websites

Instead, it supports muscle growth indirectly by accelerating tissue recovery, reducing chronic inflammation, strengthening tendons and ligaments, and improving gut health for better nutrient absorption

If purging continues at the same rate but less intensely, you're genuinely purging and the reduced frequency simply slowed it down