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Patients with a history of gastrointestinal issues including gastritis, acid reflux treated with PPIs, or any condition affecting stomach lining integrity already have compromised B12 absorption pathways

Months 4-5 (10-12.5 mg equivalent) If your 50 units corresponds to 10 mg, you are on a higher dose that delivers more potent effects

It sets out what to eat and why, so you are not relying on hunger signals the medication has switched off

Sip 250 to 500 mL of water or electrolyte solution with each meal to maintain gastric fluid balance

This can reduce your natural thirst sensation and increase dehydration risk if you dont stay on top of your fluid intake

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