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This means fewer injections are needed compared to cyanocobalamin, which is cleared from the body more rapidly

[DOI] [PMC free article] [PubMed] [Google Scholar] CW, Lindn SK, Gilshenan KS, Zoetendal EG, McSweeney CS, Sly LI, McGuckin MA, Florin THJ

And for more rapid improvement intramuscular therapy is used, and it must be considered in patients with severe deficiency or severe neurologic symptoms

Gastroenterology 162 , 316319.e5 (2022)
