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Current British Society of Gastroenterology guidance suggests considering a baseline upper GI endoscopy with biopsies in adults aged 50 or over with confirmed pernicious anaemia to document autoimmune gastritis

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This can be helpful for those suffering from Chronic Fatigue or Fibromyalgia

Lipotropic injections are inappropriate or require careful evaluation in patients with known allergies to any component, uncontrolled medical conditions, significant renal or hepatic impairment, B12-related disorders, or pregnancy and breastfeeding

Keep vitamin B12 injections cool and dry

TriMix may be one part of that conversation, but it is not the only option