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If reactions are severe or don't resolve within hours, discontinue use and consult appropriate medical guidance

19 Early studies: There were studies in the 1950s and the1960s that showed that oral vitamin B 12 could be absorbed by patients with pernicious anemia and could lead to resolution of the anemia

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Gastric cancer and intestinal metaplasia: differential metabolic landscapes and new pathways to diagnosis

While B12 supplementation addresses the deficiency, injection may be recommended by a healthcare provider as opposed to oral supplementation since malabsorption is often the cause