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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)
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That does not tell us what the obvious disease is for a persons long-term health
However, with the current environments we live in and the poor quality and mass production of food, especially animal products at the moment, everyone is at risk of having below sufficient levels of Vitmain B12
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