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Tomas Gigena, M.D., leads the Portland metro area's premier physician-directed medical spa, biohacking clinic, and wellness center located in Lake Oswego, Oregon and serving Multnomah and Clackamas counties
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Standard maintenance dosing ranges from 1000 mcg weekly to 1000 mcg monthly
In PA, autoimmune attack destroys parietal cells and/or neutralises intrinsic factor via antibodies
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