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doi: 10.1007/s11033-013-2715-z 153 MoehlerMMuellerAHartmannJTEbertMPAl-BatranSEReimerPet al

Warnings Ibrance may not be right for you if you have certain medical conditions or other factors that affect your health

Injections are particularly appropriate for those with: Pernicious anaemia, an autoimmune condition affecting B12 absorption Conditions affecting the stomach or small intestine, such as Crohns disease or coeliac disease Those who have had gastric surgery or bariatric procedures Strict vegans and vegetarians not meeting their B12 needs through food or oral supplements For those who can absorb B12 normally, oral supplements are generally an effective and well-evidenced alternative to injections

Some people may notice minor, temporary discomfort

Medically, a muscle spasm is an involuntary, forceful muscle contraction that is sudden, potentially painful, and can temporarily impair muscle function

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