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Follow-up B12 injections would only be arranged post specific scenarios

There are a multitude of conditions that can lead to poor GI absorption of both foods and medications, including prior bariatric surgery for weight loss, inflammatory bowel diseases such as Crohn's Disease and Ulcerative Colitis, as well auto-immune disorders such as Celiac Disease

Most patients in their early 20s dont need exogenous peptides

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This is of concern since a recent study of human pancreas from organ donors who had been treated with incretin mimetic drugs for a year also showed the increased presence of PanIN lesions (13, 14)