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Patients with Normal Intestinal Absorption Where the oral route is not deemed adequate, initial treatment similar to that for patients with pernicious anemia may be indicated depending on the severity of the deficiency

However, compounded versions are not identical to the original prescription drug, and their consistency can vary

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If youre on a very tight budget: Cyanocobalamin 1,000-2,000mcg daily works at high doses via passive diffusion

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