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I think maybe if they responded to emails addressing my questions and concerns about the proper dosages for my needs I could probably get better results

The following comparison illustrates the practical cost difference for a typical patient on a monthly maintenance schedule: For patients with pernicious anemia or severe malabsorption where injections are clinically necessary, this cost is justified and often covered by insurance

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doi:10.1056/NEJMc2102131 2

1 2 "Advances in the understanding of cobalamin assimilation and metabolism"