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if neurological involvement is present, maintenance is every two months Oral therapy is generally not appropriate where absorption is impaired (e.g., pernicious anaemia), as adequate levels cannot be reliably achieved Because B12 is water-soluble and any excess beyond hepatic storage capacity is excreted in the urine, it has a low toxicity profile
they are research observations in laboratory models
We are not prescribing it
The success of treatment is closely linked to gradual titration and personalised dosing plans
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The facial hollowing, sagging skin, and overall aged appearance are a result of fat loss, not a harmful side effect of the medication itself
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