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In the absence of gastric parietal cell or intrinsic factor antibodies, gastroenterology consultation and other diagnostic tests (eg, endoscopy) may be necessary to determine the cause of cobalamin deficiency if a clear and sufficient explanation is not readily evident from the patient's history (eg, a long history of adherence to a vegan diet, nitrous oxide exposure in surgery or recreationally, history of fish tapeworm infection, or a history of bariatric surgery, gastrectomy, or surgical resection of the terminal ileum)
Comparison with Other Copper Peptide Forms GHK-CU is not the only copper peptide available
Daily injections at the beginning are key for: Quickly fixing the deficiency Reducing severe symptoms Getting ready for ongoing treatment Secondary Phase: Weekly Injections for One Month After the first week, injections are given weekly for a month
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Key considerations for higher IV dosages include: Severe vitamin B12 deficiency with neurological symptoms
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