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Lean body mass is not the same thing as skeletal muscle

Some people have pernicious anemia, a condition in which they cannot make intrinsic factor

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10.1016/j.cmet.2017.11.002 266 YuanX.HuT.ZhaoH.HuangY.YeR.LinJ.et al (2016)

Patients typically undergo a series of treatments over several weeks, with noticeable improvements in skin tone, energy levels, and overall vitality