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It is used in the treatment and prevention of vitamin B12 deficiency in patients with conditions such as:_ Addisonian (pernicious) anemia Malabsorption Atrophic gastritis Prolonged treatment with metformin Small bowel bacterial overgrowth (SIBO) Total or partial gastrectomy Infection with the fish parasite Diphyllobothrium latum Helicobacter pylori infection Pancreatic dysfunction Pancreatic or bowel malignancy Dietary deficiency (e.g
AOD 9604 Exploration in Joint Research Animal research has suggested that AOD 9604 might influence cartilage metabolism
Adverse reactions to any substance can also be reported to the MHRA via the Yellow Card scheme at yellowcard.mhra.gov.uk
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Some patients tolerate gradual adjustments better than aggressive protocols
This outcome is preventable but remains common in unmonitored cases
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