A 2025 European Journal of Clinical Nutrition commentary on the NICE guideline argued that the diagnostic threshold and clinical awareness still need to be tightened further, especially around pernicious anaemia, which is still under-recognised in primary care
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Deficiencies of glucagon, epinephrine, cortisol, and growth hormone, which are rare, are usually corrected by exogenous hormone supplementation
We often pair our IVs with targeted oral supplements for extra supportand for bonus points, we can even compound a custom topical niacinamide cream to help with local brightening and breakouts
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