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For malabsorption (e.g., pernicious anemia), injections are often preferred, though some clinicians still use very high-dose oral regimens (NIH ODS)
1999;276(3 Pt 1):G71927
Endocr Dev
These include: Older adults on PPIs or H2 receptor antagonists Diabetic patients on metformin for a long time People with gut disorders that affect nutrient absorption Its important to check these individuals B12 levels to avoid deficiency
Continuous Use There is limited research on optimal cycling strategies (periods of use followed by breaks) versus continuous use
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