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The use of PPIs can increase plasma gastrin levels by 35 times, dependent on treatment duration, necessitating suspension before testing, yet the 2024 guidelines do not address this [18]

Dosing & Reconstitution Guide Subcutaneous, once weekly Standard / Gradual Approach (2 mL = 7.5 mg/mL) Frequency: Inject once weekly subcutaneously on the same day each week [1] [5]

If you are experiencing symptoms of fatigue, weakness, or have concerns about your vitamin levels, our providers will work with you to determine if B12 testing or supplementation is appropriate
