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Intramuscular B12 injections produce faster results than oral supplementation, with reticulocytosis typically beginning by day 34 of treatment

Finally, if the serum cobalamin concentration at the time of reevaluation is subnormal [lower than normal], further work-up is required to definitively diagnose the underlying disease process and cobalamin supplementation should be continued weekly or bi-weekly

Although intravenous immunoglobulin has been effective as a sole agent in two cases (28

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