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Dig Dis Sci 2010;55(7):1824-1830
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)
(By contrast, plain Sterile Water for Injection has no preservative and must be used as a single dose.) The product label explicitly notes that the vial may be made to dilute or dissolve drugs for injection and is designed for repeated withdrawals
And, while our natural levels might decrease with age and certain lifestyle choices, they can both be boosted through supplementation
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