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in a prospective randomized trial including 38 patients (7 with pernicious anemia [18,4%]), have reported improvement of hematological parameters and vitamin B12 levels (mean value: 907 pg/mL), after 4 months of oral cyanocobalamin replacement using a much higher dose (i.e

I'm guessing my doctor will go along with trying this, all arrows seem to point in that direction in terms of causality, and there's no real downside even if it doesn't do the trick

The presence of previous neurological damage from B12 deficiency may necessitate more frequent injections to prevent symptom recurrence, even after initial improvement

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