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Inadequate secretion of intrinsic factor, resulting from lesions that destroy the gastric mucosa (ingestion of corrosives, extensive neoplasia), and a number of conditions associated with a variable degree of gastric atrophy (such as multiple sclerosis, certain endocrine disorders, iron deficiency, and subtotal gastrectomy)

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Choose a site (abdomen at least 2 inches from the navel, thigh, or upper arm) and clean it with a fresh alcohol swab, letting it dry fully [13]

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Fasting glucose should normalize or approach normal ranges within 8 to 12 weeks