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It may also be prescribed when oral supplementation is not possible or not sufficient, for example after certain gastrointestinal surgeries or in severe malabsorption

This review included both RCTs and observational studies (N-RCTs, cohort, and case-control) to assess the efficacy of various Vitamin B12 administration routes

Getting clear, straightforward answers will help you make a confident decision

Transitioning off the combination How you end the combination protocol matters as much as how you start it

Your GP may arrange periodic blood tests to ensure B12 levels remain adequate, though clinical response is generally more important than specific blood values once treatment is established

I can empathise as it was incredibly painful and ugly