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Laboratory interference: Persistent unexplained elevation may reflect macro-B12 (immunoglobulin-bound B12) or other assay interferences

That something is peptide therapy, and it has the entire health, wellness, and fitness community talking including Joe Rogan, who has been open about his regular use of peptides and recommends them often

Clayton P, Chatelain P, Yoo HW, Rodriguez-Arnao MD, Salles JP, Lopez-Siguero JP et al

Avoid Unregulated Online Peptides One of the biggest concerns providers discuss today is the growing number of unregulated peptide products sold online

The user may have had a favorable tear pattern, may have combined peptides with physical therapy, may have benefited from factors unrelated to the peptides