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Zielonka et al., 2015

Collagen Peptides (Oral, Not Injectable) Collagen peptides taken orally combined with resistance training significantly improve body composition and muscle strength

However, someone with decreased intrinsic factor may have symptoms of milder B12 deficiency long before pernicious anemia.[ref] The time to act is long before your body develops full-blown anemia

In contrast, training requirements for other direct care workers including those working in private homes, assisted living communities, adult day services and other settings vary widely by state and setting, or, in some cases, are nonexistent