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Children presenting neurological signs or symptoms, those unable to take oral medication, individuals with known malabsorption syndromes, infants under 6 months old, and patients using medications that may interfere with vitamin B12 absorption are typically treated with a parenteral protocol (1)
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Chronic fatigue, constipation, depression, memory loss, digestive disorders, headaches, pale skin, shortness of breath just to list a few
There's no established tolerable upper intake limit from major health authorities
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