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Initial evaluation, injection technique teaching, and any complex side-effect management benefit from being in person
2 There is insufficient data to recommend other formulations of vitamin B 12 replacement (e.g., nasal, sublingual, subcutaneous)
Evening use may be more likely to disrupt sleep, but this has not been tested in a controlled human study
Reviewing previous IBD treatment response: If a biologic or advanced IBD treatment has not worked as expected, it may be appropriate to review treatment history, disease activity, drug levels, antibodies, timing of response and whether symptoms are due to inflammation or an overlapping condition
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