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DSIP Protocol Mistakes & Troubleshooting Missed evening dose: most research write-ups simply skip and resume the next night rather than doubling up
For example, patients with conditions like pernicious anemia or significant absorption issuessuch as those caused by gastrointestinal disorders (like Crohns disease or celiac disease), a history of gastric surgery, or certain long-term medicationsoften require higher or more frequent doses, especially when starting treatment
& Tang, J
If you experience side effects from B12 supplementation, these can be reported to the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk or via the Yellow Card app)
Treating vitamin B12 deficiency anaemia Vitamin B12 deficiency anaemia is usually treated with injections of vitamin B12, called hydroxocobalamin
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