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Step 3 Ongoing Monitoring & Optimization Regular follow-up (typically every 3-6 months for maintenance protocols, more frequently for correcting deficiencies) includes re-testing to monitor vitamin levels, assessment of symptom improvement, adjustment of dosing or frequency as needed, and transition to maintenance protocols once optimal levels are achieved

However, around 85% of PA patients have parietal cell antibodies, which means they are a sensitive marker for the disease

It usually ranges from 1 mg to 2.5 mg per shot

Methodology notes Readers comparing DSIP studies should note the heterogeneity of the literature

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