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NHS treatment protocols involve intramuscular loading doses followed by maintenance therapy, with frequency determined by underlying cause and severity
The NIH reports that only about 10 micrograms of a 500-microgram oral supplement are actually absorbed in healthy people due to limitations of stomach acid and intrinsic factor
Persistent vomiting, severe nausea that prevents eating, diarrhea lasting more than a week, or any symptom that significantly impacts your daily functioning requires medical attention and likely a dose adjustment
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