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Patients should be informed of the pros and cons of oral versus parenteral therapy, and regardless of the form of treatment, those with pernicious anemia or malabsorption should be reminded of the need for lifelong replacement
Self-Administration Techniques Many patients like to give themselves subcutaneous B12 shots
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Swirl the vial between your fingers
Certain health conditions If you have a stomach or small intestine condition such as celiac disease or Crohn's disease, you may not be able to absorb enough vitamin B12 from food
Because terminology, peptide form, assay design, and reporting quality vary across the historical literature, study conclusions should remain tied to the exact sequence, disulfide configuration, counterion or salt form, formulation, species, route, exposure period, and endpoint used
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