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Wait until initial pain and inflammation decrease (typically week 2-3 of treatment) before beginning progressive loading protocols

Current British Society of Gastroenterology guidance suggests considering a baseline upper GI endoscopy with biopsies in adults aged 50 or over with confirmed pernicious anaemia to document autoimmune gastritis

10.1371/journal.pone.0187964 PLoS One 16 Dal CantoE.CerielloA.RydenL.FerriniM.HansenT

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Advantages include: Ease of use and integration into a care routine Targeted action on the scalp Generally favorable safety profile Availability without prescription for cosmetic formulations To optimize skin penetration, some users combine topical peptide application with scalp microneedling (dermarolling)