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Causes can include pernicious anaemia, stomach problems, some medicines, or dietary issues

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It remains unclear whether a loading dose is necessary for rapid treatment of vitamin B12 deficiency via intranasal administration

Tendinopathy requires the full 4 to 8 week protocol for meaningful resolution

[15] [18] For borderline results, additional tests such as methylmalonic acid, homocysteine, or holotranscobalamin may be considered