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Postgrad Med J (2003) 79(930):21820.10.1136/pmj.79.930.218 14 AndresEHenoun LoukiliNNoelEMaloiselFVinzioSKaltenbachGet alEffects of oral crystalline cyanocobalamin 1000 mug/d in the treatment of pernicious anemia: an open-label, prospective study in ten patients

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Oral methylcobalamin for everyday energy support Research has shown that high-dose oral B12 even in people with some absorption challenges can achieve adequate blood levels through passive diffusion, a secondary absorption pathway that doesn't depend on intrinsic factor