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Additionally, patients with specific medical conditionssuch as kidney disease, liver disease, or particular blood disorderswill require careful monitoring and possibly dosage adjustments by our clinical team, as excessive vitamin B12 supplementation could lead to complications

In terms of the dosage De Young (1998) showed that 40mg Triamcinolone had a better affect than 10mg

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4 Discussion This systematic review and meta-analysis provide a comparative evaluation of oral, sublingual, and intramuscular (IM) vitamin B12 supplementation in the management of B12 deficiency