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See LABORATORY TESTS for monitoring B 12 levels and adjustment of dosage

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KPV anti-inflammatory effects might also allow steroid dose reduction in patients who can achieve adequate inflammation control with peptide supplementation

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Record what you told the patient, why you made your clinical decision, and any referrals you suggested

In general, some people at risk of deficiency include those who have had intestinal surgery, including weight loss surgery, diseases that affect the gut, such as Crohns disease or celiac disease, and older people who eventually lose the ability to absorb vitamin B12