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document number of exchanges, volume treated Oral corticosteroids or pulse IV methylprednisolone: document dose, duration, taper Rituximab (J9310): refractory cases

This also causes a loss of cells that produce intrinsic factor and secrete hydrochloric acid

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Some need more shots based on B12 levels

It is important to maintain consistent usage and follow your healthcare providers recommendations

However, some eventually discontinue use due to concerns over long-term side effects or lack of clear regulatory oversight