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One study suggested that the success rate of endoscopic hemostasis for patients with an INR between 1.3 and 2.7 is comparable to that of patients who are not receiving anticoagulants, and the study was not powered to determine the success rate for an INR of more than 2.7 (Am J Gastroenterol

A compound affecting so many biological pathways could easily have subtler harms that small trials (or enthusiastic investigators) might miss

Those who've had certain surgeries: Gastrointestinal surgeries may reduce intrinsic factor production, limiting B12 uptake from food or oral supplements

It is critical to use medical-grade sourcing for all peptides while thoroughly assessing patients for suitability