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For first-time clients, we typically recommend starting with a 50mg dose

Patients are considered to be at risk due to their age (60 years and older) and/or documented history of gastric ulcers

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Patients taking Adderall XR, metformin, and a proton pump inhibitor simultaneously face the highest risk of B12 depletion

Getting tested for these genetic variants isnt just interesting trivia its the key to figuring out why you might need doses that seem crazy high by normal standards