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Generally, drops of more than 20 mmHg systolic or 10 mmHg diastolic warrant attention, particularly if accompanied by symptoms like dizziness or fatigue
The Pernicious Anaemia Society is a great place to start
This may show anti-inflammatory and anti-fibrotic action
Switching from tirzepatide to semaglutide or vice versa is common when optimizing individual response and tolerability
If the level stays high with no B12 going in, that persistence is the finding worth investigating
Oral treatment generally requires four to six weeks before noticeable improvements occur , and compliance is essential for success
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