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Instead, it reveals two distinct approaches to the same problem, each with advantages in specific contexts

Quick Reference: Injectable Protocol Community-reported starting doses cluster around 200 mg 2-3 times per week, with functional medicine protocols describing doses up to 600 mg per session

FBCM is currently considered to be the most common cause of vitamin B12 deficiency, caused by impairment in the release of the vitamin from food, commonly because of conditions such as gastritis, achlorhydria, gastrectomy, use of antacids, or proton pump inhibitors (PPIs), gastric atrophy in the elderly, and Helicobacter pylori infection (63, 74)

This would be achieved through a concerted effort to educate doctors by incorporating this knowledge into the curriculum, which will dispel misconceptions commonly ascribed to PA patients by doctors and promote a deeper understanding of PAs complexity