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Doctors must watch patients closely to adjust doses and handle any side effects

Adverse Reaction The use of parenteral injections can sometimes give rise to toxic reactions as well as allergic type responses with respiratory distress

Injections (commonly hydroxocobalamin in the UK) Oral supplements Oral B12 can be helpful in some cases, especially where deficiency is dietary and absorption is adequate

Nurse Practitioner Swope works closely with each patient to develop personalized treatment plans that address their unique needs, preferences, and goals

Efficacy of the Autoimmune Protocol Diet for Inflammatory Bowel Disease. Inflammatory Bowel Diseases, vol

The aging process affects the stomachs ability to produce intrinsic factor, a protein necessary for B12 absorption, explains why older adults need regular shots