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You should be sure that your healthcare provider is aware of all your medical conditions, including if you have: Heart disease, high blood pressure, high cholesterol, diabetes, or if you smoke

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Gowdappa HB, Mahesh M, Murthy KV, Narahari MG

Studies as early as 1998 validate the use of correct oral treatment as being equally effective as injections, with a conclusion that stated: In cobalamin deficiency, 2,000mcg of cyanocobalamin administered orally on a daily basis was as effective and may be superior for raising blood B12 levels as 1,000mcg administered intramuscularly on a monthly basis