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4 Physical assessment of the patient may include dry skin, jaundice, and a red swollen tongue

For B12: monthly for wellness, or weekly for 48 weeks to correct confirmed deficiency

Sermorelin has the longest history of clinical use among this group

D51.8 Other Vitamin B12 Deficiency Anemias Use for B12 deficiency from causes not classified elsewhere, such as post-gastrectomy, ileal resection, Crohn disease-related malabsorption, bacterial overgrowth, or long-term medication effects (metformin, proton pump inhibitors, H2 blockers)

Injections bypass the digestive tract, which makes them more effective for people with absorption issues or severe deficiencies