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Esophageal monitoring If you have persistent reflux symptoms for more than 3 months despite adequate treatment, or if you have alarm symptoms (difficulty swallowing, pain with swallowing, unintentional weight loss beyond therapeutic effects, anemia), endoscopic evaluation is appropriate

Some people benefit from weekly injections, while others may only require them monthly

Chronic Inflammatory Bowel Disease (IBD) Inflammation of the ileum and disruption of the gut barrier can significantly reduce B12 absorption

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And climb to the camp in a beautiful paradise known as Carmen Huerto (2000 m.a.s.l.)

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