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Doses greater than 0.4 mg/day should be avoided until the diagnosis of pernicious anemia is ruled out

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Br J Nutr 2012

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thus, appropriate tests need to be carried out to rule out this condition if suspected.[16] Therapeutic response to cyanocobalamin may decrease due to elderly age, infection, renal insufficiency, diabetes mellitus, marrow suppressants use (e.g

Prescriptions are only provided if medically appropriate after consultation
