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This patient also has a stricture of the main pancreatic duct, caused by pancreatic adenocarcinoma

It is best to follow a healthcare professionals guidance on whether they recommend vitamin B12 supplements based on individual circumstances.

What can I do to ensure my injections are kept at least at 10 weekly and preferably ay 8 weeks

Systemic : Inflammation regulation, damage repair, and inter-system communication (e.g., brain, gut, muscles, metabolism)

High-dose oral supplements (often 10002000 micrograms daily) or intramuscular injections (typically 1mg hydroxocobalamin) used to treat pernicious anaemia or deficiency states can temporarily elevate serum levels