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IM administration may provide the most robust response in clinical scenarios requiring rapid or substantial metabolic correction

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Inconvenience: Managing vials and syringes feels overwhelming

Thrombocytosis: Dangerous Increase in Blood Platelets B12 replacement therapy can trigger significant thrombocytosis (excessive production of platelets, the blood cells responsible for clotting)

Thiamine (Vitamin B1) Prevents fatigue and supports the nervous system
