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cautious use is recommended in patients with milder forms of renal disease or renal impairment (3, 5)

One study found that 20% of Hashimotos disease patients have gastric autoimmunity, including pernicious anemia

Conclusions Ultimately, the current maintenance dose of 1,000 mcg B12 every 3 months may confer long term harm, therefore it seems that once B12 levels are stabilised well within acceptable range, then the standard B12 intervention of 1000 mcg should be administered annually, and monitored with pre-injection annual testing of levels

Clinician-guided Vitamin C injections for men in Southwest Oklahoma City, including Mustang, Moore and Yukon

doi: 10.3389/fendo.2023.1218880 12 OhRKimGLeeKNChoSHKimJYKimSet al

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