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Some patients experience headache, others may feel nauseated
In addition, the Supporting Factors such as sleep and hydration will materially affect results
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This synthesis of vitamin B 12 is of no practical consequence due to its length, taking 72 chemical steps and giving an overall chemical yield well under 0.01%
Treatment typically requires intramuscular hydroxocobalamin injections (1 mg three times weekly initially, then every 23 months lifelong) when malabsorption or neurological symptoms are present
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