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If you are facing fertility challenges, PCOS, or fibroids

The 43-residue thymosin beta 4 chain in particular is shear sensitive, and agitation reduces recovery of intact peptide

When you're deficient, the symptoms are usually gradual: fatigue, brain fog, low mood, tingling in hands or feet, unexplained weakness

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If you fall into any of these categories, it's worth discussing B12 testing with your healthcare provider