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Studies suggest subcutaneous administration achieves 7085% bioavailability compared to oral routes, though oral protocols at 100150mg compensate for first-pass metabolism

Consensus on the Clinical Practice of Diagnosing Vitamin B12 Deficiency The panelists agreed that the delay in the diagnosis of vitamin B12 deficiency may be explained by barriers such as the variability of symptoms, low doctor awareness of the disease, not paying attention to the patients symptoms, and limited access to modern laboratory markers (Table 1)

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