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Int J Biochem Cell Biol 42:813827 Bhonsle JB, Clark T, Bartolotti L, Hicks RP (2013) A brief overview of antimicrobial peptides containing unnatural amino acids and ligand-based approaches for peptide ligands

In more complex or persistent cases, I may recommend targeted testing, including advanced skin or gut microbiome testing, to better understand: Bacterial imbalances Yeast overgrowth Staphylococcus dominance Gut patterns that may be contributing to skin inflammation Toxic overload Hormonal imbalances And more

Sever et al

Metformin use and risk of B12 deficiency increases with the dose and the duration depletion can be seen as early as 3-4 months after starting so it is important to attend for follow up blood tests and talk to your doctor