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It must be made by a third-party certified lab

afterwards bone is lost at about 1% per year

"They're different than other fats, which are used for fuel

So people at greatest risk for deficiency include those with low stomach acid (e.g., older adults and people on proton pump inhibitors or antacids) or low IF production (known as pernicious anemia), people on medications that interfere with B12 absorption (such as metformin), people who have had gastric surgery, those with GI conditions that impair nutrient absorption (like celiac or Crohn's disease), and people on vegan and vegetarian diets

It is often used in sports nutrition because of its potential to help with muscle soreness and physical recovery