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Referral to secondary care is indicated for severe or rapidly progressive neurological symptoms, diagnostic uncertainty, suspected bone marrow failure, or in pregnancy or paediatric cases

Those with certain genetic variations affecting b12 metabolism may benefit from methylcobalamin specifically

Sitaraman, and D

Is treatment with oral vitamin B12 supplements as effective as treatment with intramuscular vitamin B12 in patients with confirmed B12 deficiency

Experience natural energy support with Neurobion Extra Forte B12 10,000 mcg Liquid Vials
