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Cyanocobalamin is better absorbed as an injection and may not have dependable absorption when given orally
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In that same report, MedPAC postulated that physicians' services under the PFS can become misvalued over time
The EFSA notes, The inherent uncertainty of this [factorial] approach is reflected in the wide range of cobalamin intake calculated to compensate for estimated daily losses, depending on the assumptions taken (EFSA, 2015). Appendix D
Hocking S et al
Intramuscular injection may alter the pharmacokinetics and isn't part of standard protocols
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