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Importantly, misoprostol can cause pregnancy termination or complications so must not be used unintentionally by women who are pregnant or may become pregnant

This makes injections highly effective for pernicious anaemia and other malabsorption syndromes, including post-gastrectomy states, Crohn's disease affecting the terminal ileum, and certain medications that interfere with B12 uptake

6-Month Cycle: Inject 1mL per week of month 1, every other week in month 2, 1 time per month for months 3-6 (10 ML total)

Adults under 130 lbs may use the 1/2 inch or 5/8 inch needle to get Intramuscular benefit

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Cases where standard treatment produces weak or unstable results