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Update in: Cochrane Database Syst Rev

Blood Cancers: Conditions such as leukaemia can raise levels of the protein that binds B12 3 , 4

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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Please consult your healthcare provider before starting or changing any medication or treatment