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Individuals who are pregnant or breastfeeding, those with a history of certain cancers (due to the peptides ability to stimulate blood vessel growth), or those with copper metabolism disorders such as Wilsons disease should avoid this therapy

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Food Sources of Vitamin B12 meats fish shellfish poultry milk and milk products eggs cereal (fortified) nutritional yeast (fortified) Vitamin B12 is found only in animal protein foods and fortified foods

If pain is moderate to severe, traditional treatments for neuropathic pain, including tricyclic antidepressants and gabapentin, can be trialled