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Swallowed tablet or sublingual

Assess the patients emotional well-being and provide emotional support during hospitalization

Animal-derived foods are the primary natural sources of B12, as the vitamin is synthesised by bacteria and accumulated in animal tissues

This option reduces dosing fluctuations and supports stable symptom management with minimal maintenance

Hermida, R

Serum B12 reference ranges vary between laboratories, but generally, levels below 148 pmol/L are considered deficient, whilst levels between 148258 pmol/L are regarded as borderline and may warrant further investigation or a trial of treatment, particularly if symptoms are present