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Children presenting neurological signs or symptoms, those unable to take oral medication, individuals with known malabsorption syndromes, infants under 6 months old, and patients using medications that may interfere with vitamin B12 absorption are typically treated with a parenteral protocol (1)

Muscle injection causes faster, more variable absorption and increased injection site pain

M.LiangD.et al (2021)

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They have different concentration needs, and nobody's studied whether the combined solution stays stable

Barretts esophagus after dysplasia should be examined yearly