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Subcutaneous (SubQ): Injected under the skin, usually around the abdominal area or near the injury site for localized effect

arguments against the use of oral cobalamin Oral treatment may be considered in certain situationsfor example, in mild or subclinical deficiency with no clinical features and when absorption and compliance are definitely not a problem

The challenge for the clinician caring for the patient is a wide range of potential medications could be prescribed, and they need to choose options that are appropriate and achievable, both from an owner and a patient perspective, to maximise quality of life and longevity

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