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For patients with confirmed B12 deficiencywhether due to dietary restrictions, absorption issues, or conditions like pernicious anemiaB12 injections can be an effective way to quickly restore healthy levels

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The same section requires a colonoscopy with removal of polyps within 6 months before starting , another at 1 year, then every 5 years , plus bilirubin, alkaline phosphatase, lipase and amylase every 6 months, and discontinuation if GI cancer is found [1]

Some protocols suggest treatments over several consecutive days to maximize uptake of the nutrient and receive the best overall benefit