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Andersson, Emmanuel Shapira, Biochemical and clinical response to hydroxocobalamin versus cyanocobalamin treatment in patients with methylmalonic acidemia and homocystinuria (cblC), The Journal of Pediatrics, Volume 132, Issue 1, January 1998, Pages 121-124, ISSN 0022-3476, Okuda K, Yashima K, Kitazaki T, Takara I

The exact frequency may be adjusted based on how severe the deficiency is and what the veterinarian recommends to support healthy recovery and stable vitamin levels

Thyroid concerns arose during drug development due to C-cell hyperplasia and medullary thyroid carcinoma seen in rodent studies

Oral B12 supplementation generally takes longer to produce noticeable effects than intramuscular injections, with patients typically experiencing improvements within 24 weeks

Its crucial to identify and address vitamin B12 deficiencies early to maintain overall health