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Additionally, mutations affecting vitamin B 12 transport and intracellular metabolism have been identified (17)

Precautions Use lowest effective dose for shortest duration Combine with PPIs in high-risk GI patients Monitor renal function in elderly and those with comorbidities 9

Depending on the protocol, peptides may be delivered through subcutaneous injections, oral capsules, nasal spray, or topical application, with the best delivery method determined during your personalised evaluation