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NICE recommends lifelong intramuscular replacement for vitamin B12 deficiency caused by autoimmune gastritis, or after total gastrectomy or complete terminal ileal resection
Sci Rep 9 , 6333 (2019)
Most people notice a boost in energy within 24 to 72 hours after receiving a shot
(iv) concomitant treatment with psychiatric medication
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In any bureaucracy, theres a natural tendency to let the system become an excuse for inaction. Life sometimes throws up such absurd situations that I find myself wanting to vent
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