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B12 injections are the gold-standard treatment because they bypass this broken absorption system entirely

What matters more is how the water goes in: aim the stream at the glass wall and let it run down the side rather than firing it onto the powder, then swirl gently until dissolved

These patients are often recommended to receive 1 mg of oral vitamin B12 daily indefinitely, but intramuscular injections may be necessary if oral supplementation is insufficient Mahawar2018Langan2017

Sources of Vitamin B12 Vitamin B1 is absorbable from many food sources

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