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While very high oral doses (1,000 to 2,000 mcg) can achieve some passive absorption without intrinsic factor roughly 1% of the dose is absorbed passively many clinicians prefer the reliability and rapid correction offered by injections in this population

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Moreover, methylcobalamin is prescribed by specialists for treating dementia and improving semen quality, including increased sperm count, enhanced sperm motility and reduced sperm DNA damage (Steven F Werder