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The 2-hour food buffer matters because insulin and growth hormone work against each other at the receptor level

Neurological symptomsincluding balance problems, confusion, or peripheral neuropathyrequire urgent assessment, as prolonged deficiency can cause irreversible nerve damage

. Doctors may not be prescribing oral vitamin B12 formulations because they may be unaware of this option or have concerns regarding its effectiveness Objectives: To assess the effects of oral vitamin B 12 versus intramuscular vitamin B 12 for vitamin B 12 deficiency. Selection criteria: Randomized controlled trials (RCTs) comparing the effect of oral versus IM vitamin B 12 for vitamin B 12 deficiency

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