Only use acetic acid if peptide manufacturer specifically recommends it
This can take several shots to correct over several weeks in total, as it takes time for your body to both absorb the vitamin B12 and use it to repair any damaged tissues or boost cell DNA synthesis back to normal levels
They are recommended for those with fatigue, poor absorption, or deficiency
If a patient uses a peptide-related approach but continues the same movement pattern that caused the injury, the problem may return
Risk factors include vegetarian or vegan diets, age over 50 (reduced gastric acid impairs absorption), proton pump inhibitor use, prior gastric surgery, and Type 1 diabetes
Its a modifier on top of the main calculation, not a separate major factor