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Pernicious Anaemia is Lifelong: If your deficiency is due to pernicious anaemia (lack of intrinsic factor), B12 injections will be lifelong, as the underlying absorption problem is permanent

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10.1007/978-3-642-17214-4_14 82 NakanishiT.ShimazawaM.SugitaniS.KudoT.ImaiS.InokuchiY.et al (2013)

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Step 2: add peptides sequentially When starting a stack, introduce one new peptide every one to two weeks