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Oral treatments, while convenient, fail to deliver these peptides effectively because they are fragile proteins broken down in the stomach's digestive environment
O (Outcome): Primary outcome: changes in serum Vitamin B12 levels, clinical improvement of Vitamin B12 deficiency symptoms
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While this can sometimes make approvals feel stricter, many treatment providers say TRICARE tends to support longer-term continuity of care once treatment is approved, including step-down services like outpatient therapy, medication-assisted treatment (MAT), relapse prevention, and ongoing mental health support