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Oral supplements require higher doses because only approximately 1% is absorbed passively when intrinsic factor is impaired, making injections the most reliable method for pernicious anaemia and malabsorption conditions
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Severe reactions are rare but can occur
Diarrhea, while not a neurological symptom, can present because the rumen is not functioning properly
doi:10.1586/14789450.2014.965159
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