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through a strict vegetarian diet) as well as malabsorption due to: insufficient production of intrinsic factor, diseases in the end section of the ileum, e.g.E.g

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Under Section 503B of the Federal Food, Drug, and Cosmetic Act, outsourcing facilities can compound sterile drugs like this without individual prescriptions, and these products are exempt from FDA approval requirements (though they must be made under stringent quality standards)

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It is stored in the liver and whatever your body doesn't use is excreted through urine, Allen says