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It is used in the treatment and prevention of vitamin B12 deficiency in patients with conditions such as:_ Addisonian (pernicious) anemia Malabsorption Atrophic gastritis Prolonged treatment with metformin Small bowel bacterial overgrowth (SIBO) Total or partial gastrectomy Infection with the fish parasite Diphyllobothrium latum Helicobacter pylori infection Pancreatic dysfunction Pancreatic or bowel malignancy Dietary deficiency (e.g

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DSIP is supplied in lyophilised (freeze-dried) form to preserve stability during storage and transport

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Cartalax is a tripeptide (Ala-Glu-Asp) belonging to the Khavinson bioregulator family