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Research shows oral peptide bioavailability decreases by 3542% when administered within four hours of a meal compared to fasted-state dosing
Patients with documented cobalamin anaphylaxis history, uncontrolled hypertension, or recent acute myocardial infarction should not receive the injection without specialist review

Without DAC, more frequent dosing is needed to maintain steady effects

Choumenkovitch SF, Selhub J, Wilson PW, Rader JI, Rosenberg IH, Jacques PF
[DOI] [PMC free article] [PubMed] [Google Scholar] 83.Majumder S., Soriano J., Louie Cruz A., Dasanu C.A

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