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There is no published evidence this is more effective than a single route, but it is a common pattern in community protocols

Providing some nutrients such as vitamins and antioxidants without causing symptoms

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Epub 2007 Oct 19

for patients experiencing: Pernicious anemia, with or without nervous system involvement Dietary B12 deficiency, including strict vegetarians and vegans Malabsorption of B12 due to stomach or intestinal issues affecting intrinsic factor General B12 deficiency symptoms, such as fatigue or neurological changes Administration Dosing depends on the severity of the patients deficiency and their clinical response