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A 2025 pilot study published in PubMed confirmed short-term tolerance in 2 participants at 20mg intravenously, though the sample size remains too limited for definitive safety conclusions

The American Gastroenterological Association (2021) encourage healthcare providers to recognize pernicious anemia as a late-stage symptom of autoimmune gastritis

PubMed, Froese, D

While decaf coffee is less likely to speed up gut motility and interfere with the intestinal absorption of your thyroid medication, the same rule applies here

Hematocrit, reticulocyte count, vitamin B 12, folate and iron levels should be obtained prior to treatment