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[DOI] [PubMed] [Google Scholar] 303.Rosa P.B., Neis V.B., Ribeiro C.M., Moretti M., Rodrigues A.L

Suggested starting points to discuss with your clinician Deficiency without malabsorption: 1,0002,000 mcg oral cyanocobalamin daily until normalized, then weekly or monthly maintenance per labs (AAFP)

Patients with fatty liver disease, kidney impairment, or certain genetic variants may face higher risks and should avoid combination approaches entirely