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Description
Tannapfel A, Denk H, Dienes H-P, Langner C, Schirmacher P, Trauner M, Flott-Rahmel B

Because these conditions prevent adequate oral uptake, intramuscular injection bypasses the digestive system entirely and delivers B12 directly into muscle tissue for reliable absorption

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therefore, additional neuronal systems are likely involved

Primaquine and Pamaquine are antimalarial drugs known to induce hemolysis in G6PD-deficient patients