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Inducing a mode of NK-resistance to suppression by stress and surgery: a potential approach based on low dose of poly I-C to reduce postoperative cancer metastasis
For pernicious anaemia without neurological involvement , the standard UK protocol recommended by NICE involves an initial loading phase followed by maintenance therapy

Certain medicines are also associated with reduced B12 absorption, most notably metformin (used in type 2 diabetes) and long-term use of proton pump inhibitors (PPIs) or H2-receptor antagonists

[2] Hydroxocobalamin is administered via intramuscular or intravenous injection to treat and prevent vitamin B deficiency, particularly in conditions like pernicious anemia where oral B absorption is impaired
Because peptide therapy may affect different body systems, medical evaluation and ongoing provider guidance are important before and during treatment