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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)
[DOI] [PMC free article] [PubMed] 126.El Idrissi A., Boukarrou L., Dokin C., Brown W.T
An experimental study that showed that systemic metabolic changes can modulate firing of nociceptors in the spinal trigeminal nucleus
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