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As we age, stomach acid production can decline (atrophic gastritis), which makes it harder to extract B12 from food or pills

Essential elements include HPLC (High Performance Liquid Chromatography) purity testing showing 98% or higher purity, mass spectrometry confirming correct molecular identity, and endotoxin testing ensuring bacterial contamination remains within safe limits

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While plenty of patients taking Suboxone as prescribed have had a drink or two without issue, accept that the combination is known to be dangerous and act accordingly either with extreme caution or by avoiding alcohol altogether