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Making adjustments If side effects occur, work through potential causes systematically

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High-dose oral therapy (1000 micrograms daily) can be effective even in some malabsorption states due to passive diffusion mechanisms, though this is not standard first-line practice in the UK and should follow local policy

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For those using oral supplements, consistency in taking them is more important than specific timing around meals

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& Kratky, D

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She uses imaging to make sure the injection goes exactly where its needed

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In cases where a chronic condition is causing a deficiency, people may require B12 shots around every 2 months

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