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40 Usual treatment is based on triple therapy with two antibiotics and a proton pump inhibitor (PPI)

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And of course, you dont want to overdo it with either regular or decaf coffee or other caffeine products in order to avoid caffeine overdose

The dosing regimen varies depending on whether neurological symptoms are present: With neurological involvement: 1 mg intramuscularly on alternate days until no further improvement, then 1 mg every 2 months [3] [4] Without neurological involvement: 1 mg intramuscularly three times a week for 2 weeks, then 1 mg every 2-3 months for maintenance [3] [4] There is some evidence that high-dose oral B12 (1000-2000 micrograms daily) may be effective even in some malabsorption conditions, though UK practice still generally favours intramuscular treatment in these cases

doi: 10.1007/s12035-013-8553-0 183 StanculescuDSeplvedaNLimCLBergquistJ

All use is at the individual's own risk