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For these patients, oral B12 supplementation (1,000-2,000 mcg daily sublingual methylcobalamin) provides comparable B12 repletion without injection
Nevertheless, injections are still considered a reasonable starting point because they can foster a more rapid recovery and because even a temporary improvement in symptoms can corroborate a presumptive diagnosis.
[1] [2] This expiration date applies when the medication has been continuously refrigerated at the appropriate temperature range and has never been frozen
doi:10.1016/bs.vh.2022.01.016
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