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Risk Factors: Vegetarian or vegan diet, older age, digestive disorders (e.g., pernicious anemia, celiac disease, Crohn's disease), weight-loss surgery, and long-term use of certain medications (e.g., proton pump inhibitors, metformin)

These factors suggest starting slightly higher than the minimum effective clinical dose to account for real-world variability

Wilmington Urgent Family Clinic has the patient in mind all the time when diagnosing and administering treatment, and we are always compassionate to our patients when serving them

Its also important to note that while injections are effective, they should be administered under medical supervision