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The injected B12 in your formulation bypasses digestive absorption issues, but some individuals need more than the standard compounded amount provides

Nat Cell Biol 3(4):339345 Cummings JL, Tong G, Ballard C (2019) Treatment combinations for Alzheimers disease: current and future pharmacotherapy options

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Zinc : used in addition to penicillamine, as zinc prevents copper absorption and increases its excretion 13 Trientine : an alternative for patients who cannot tolerate penicillamine Surgical management Patients presenting with acute liver failure or decompensated cirrhosis may require a liver transplant

If youre seeking alternatives, consider discussing your options with a dermatologist