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If a supplier insists on acetic acid reconstitution without a solubility justification, that is a product quality flag

PMID 9655823

An adjustment in dosage typically takes care of these symptoms

Nackapan, If I understand correctly, you're saying that because a return of symptoms is experienced in a fairly short span of time without injections, this proves that someone with PA cannot utilize their stores of B12

Paulas Choice names all three peptides used (Tridecapeptide-1, Palmitoyl Tripeptide-1, Palmitoyl Tripeptide-38) but doesnt disclose concentrations

PMID: 17186181 | doi:10.1007/s10787-006-1531-7 Sikiric P et al