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This includes scheduling regular follow-up visits to monitor TSH levels, glycemic control, renal function, and cardiovascular health, as well as assessing the patients adherence to therapy and tolerance of medications
For gastrointestinal indications, systemic or oral administration is appropriate because the entire gut is the target
In a study of 10 healthy male volunteers, omeprazole, in doses of 20 mg-40 mg per day, caused a significant decrease in the oral absorption of methylcobalamin, vitamin B12
Whether that combination makes sense depends on what the patient actually prioritizes
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