It is especially useful in conditions where oral supplementation is not suitable or effective, such as in critically ill patients, ICU cases, severe vomiting, or in patients with poor compliance to oral therapy
Finally, if the serum cobalamin concentration at the time of reevaluation is subnormal [lower than normal], further work-up is required to definitively diagnose the underlying disease process and cobalamin supplementation should be continued weekly or bi-weekly
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Ten tripeptyd miedziowy skada si z trzech reszt aminokwasowych L-glicyny, L-histydyny i L-lizyny poczonych z jonem miedzi (Cu)
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