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In my experience, the intramuscular route is superior to subcutaneous injections
Common reasons include: Pernicious anemia , an autoimmune condition affecting intrinsic factor production Gastrointestinal disorders, such as Crohns disease or celiac disease Prolonged use of certain medications, like proton pump inhibitors Knowing these causes helps spot at-risk people
The photograph therefore supports the possibility of interference, but cannot by itself prove that the original ILS result was false
Oganesyan V et al
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