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Per week: 2 swabs 8 weeks: 16 swabs 12 weeks: 24 swabs 16 weeks: 32 swabs recommend 1 100count box Protocol Overview Concise summary of the onceweekly regimen

Before You Start: Who Might Benefit & Safety Basics Begin by confirming vitamin B12 deficiencyhistory and exam plus labs (serum B12, and when borderline, methylmalonic acid)

Doctors may adjust the dosage or timing of medication based on drug interactions, or switch to other medications to ensure the safety and effectiveness of treatment

That absence of evidence is not evidence of harm, but it does place the burden on clinicians to monitor proactively rather than assume safety

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