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This can be due to having low levels of intrinsic factor in the digestive system, having a digestive condition, or following a plant-based diet

When you inject something into your body, even water, the quality of that product has direct consequences for your health

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[3] A common repletion strategy in profoundly deficient adults involves 100,000 IU intramuscularly every four weeks for two or three doses or a one-off 300,000 IU injection followed by oral maintenance

In general, when encountering neurodegenerative disease, epilepsy, or dystonia, together with neuroimaging showing basal ganglia changes should be considered as a possibility of BTBGD [68]