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Those requiring supplementationsuch as vegans, individuals with pernicious anaemia, or those with malabsorption conditionsshould follow guidance from their GP or registered dietitian to ensure appropriate dosing

We should check if patients have any allergies or sensitivities before giving them Vitamin B12 shots

It can be effective for individuals who havent responded well to other treatments

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Most therapeutic peptides are rapidly cleaved by gastric acid and luminal proteases (pepsin, trypsin, chymotrypsin) before meaningful absorption can occur

Case presentation This case describes a 40-year-old Iranian woman with a decade-long history of nonspecific symptoms, including fatigue, widespread musculoskeletal pain, paresthesia, cognitive disturbances, and optic neuritis