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Key Factors We Consider at Lifeline Primary Care: Underlying Cause of Deficiency: Our providers assess the root cause of your vitamin B12 deficiencywhether its due to pernicious anemia, malabsorption syndromes (such as Crohns disease or celiac disease), a history of gastric surgery, or dietary factors like strict veganism

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Here is a summary of the most commonly used DSIP dosing protocol based on available reports: Starting DSIP dose: 100mcg administered at night, preferably three hours before bedtime