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No controlled trial has evaluated the combination

The peptide is a man-made variant of the thymosin beta-4 (T4) peptide found naturally within the cells of the thymus organ, and encoded by the TMSB4X gene

Up to 60% of people have a version of this mutation leading to a decreased ability to absorb B12

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Other conditions that make Vitamin B12 absorption more difficult are: Weight loss surgery or another operation that removed part of your stomach Heavy drinking Taking acid-reducing medication for a long time Certain health issues may also lead to the development of vitamin B12 deficiency such as atrophic gastritis, pernicious anemia, Crohns disease, celiac disease, immune system disorders, Graves disease and lupus