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Decreased Intake issues: A vegan or vegetarian diet with no animal products Poor Absorption Issues Medications that block absorption of B12 Pernicious anemia Auto-immune disorders An Helicobacter pylori (H

It belongs to the copper peptide family and can interact with cells to trigger growth and survival responses

for example, "Patient to receive weekly B12 injections for four weeks, followed by monthly maintenance." Follow-Up Visits : Schedule and document follow-up assessments

Long-term untreated vegan diet where deficiency has progressed beyond what oral replacement can comfortably catch up

The addition of glycine provides building blocks for protein synthesis at a time when dietary protein intake often decreases