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About Avastar Health While Tyrance Orthopedics & Sports Medicine (TOSM) provides orthopedic and sports medicine care in Delray Beach, our sister brand Avastar Health focuses on research-based and emerging wellness approaches

When patients come to Reddy and Gelber using grey-market peptides, both doctors recommend they stop, and offer harm reduction advice to those who wont

This section covers what is known about safety along with theoretical concerns

They are often recommended for individuals who struggle to absorb B12 from food or supplements, such as those with certain medical conditions or dietary restrictions

With functional medicine, you dont just treat the surface, you heal whats underneath

Risk factors that should prompt consideration of B12 deficiency include advancing age (reduced stomach acid production), strict vegan or vegetarian diets, pernicious anaemia, gastrointestinal surgery (particularly gastric bypass or ileal resection), long-term use of certain medications (metformin, proton pump inhibitors, H2-receptor antagonists), nitrous oxide exposure (including recreational use), and conditions affecting the gut such as Crohn's disease or coeliac disease