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Children presenting neurological signs or symptoms, those unable to take oral medication, individuals with known malabsorption syndromes, infants under 6 months old, and patients using medications that may interfere with vitamin B12 absorption are typically treated with a parenteral protocol (1)

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Also, pregnant women and breastfeeding mothers should not take this medicine without consulting the doctor

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Oral supplementation (50150 g daily) may suit dietary deficiency without nerve involvement, but malabsorption cases require injections

Extreme tiredness or lack of energy