A dose of 40 mg once daily may be used for more severe symptoms or confirmed oesophagitis, as per clinical judgement Review at 612 weeks: Your team will assess symptom control and decide whether to continue, reduce, or stop the medication Beyond 12 weeks: Continued use only if clinically indicated for example, persistent GORD, endoscopic evidence of oesophagitis, or ongoing symptoms In line with NICE Key Therapeutic Topic KTT13 on proton pump inhibitors, the guiding principle is to use the lowest effective dose for the shortest clinically appropriate duration , with regular review and a step-down or tapering plan where possible
Patients with neurological involvement require more intensive initial treatment with injections on alternate days until no further improvement occurs
Vegans or Vegetarians : As Vitamin B12 is primarily found in animal-derived foods, we can help evaluate your diet to ensure youre getting adequate B12 and suggest injections if needed
Semaglutide: Which is Better for Weight Loss
Ailments like anemia and undergone gastrointestinal surgery patients also will not have absorption ability
