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[1] [3] Patients with dietary deficiency and intact absorption may require less frequent injections or may be suitable for high-dose oral supplementation instead (typically 50-150 micrograms of cyanocobalamin daily between meals)

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However, recent clinical trials have demonstrated that the positive effect of these PPIs is primarily restricted to the upper gastrointestinal tract

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Yes, reporting adverse effects including taste disturbances through the MHRA Yellow Card Scheme (www.mhra.gov.uk/yellowcard) is encouraged