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Unlike most other peptides, KPV is not deactivated by digestion, allowing it to be dosed orally and act locally in the GI tract

Roux-en-Y gastric bypass surgery (RYGB) but not sleeve gastric bypass surgery or gastric banding, increases the risk of vitamin B 12 deficiency and requires preventive post-operative treatment with either injected or high-dose oral supplementation

J Pharmacol Sci 2004;95:19-26

## **Billing requirements** When billing HCPCS code J3420 (Vitamin B12 injection), healthcare professionals must document medical necessity in the patients medical record

We monitor your progress with follow-up labs and adjust your protocol as needed