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It should be noted that the baseline vitamin B12 levels in this cohort were significantly higher than in the KEMU cohort ( p = 0.006), which may explain the faster exceeding of the vitamin B12 threshold
These results suggest that sublingual and oral B12 supplementation may serve as viable alternatives to IM injections, particularly in clinical settings where frequent intramuscular administration is impractical or resource intensive
Elevated cobalamin in childhood (2025) What was found: a retrospective review of 388 children with a very high B12 at a large hospital in Ankara
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