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Suspected neurological involvement due to B12 deficiency warrants urgent initiation of treatment and may require specialist referral

[DOI] [PubMed] [Google Scholar] 90.Lozic M., Stambolija V., Krezic I., Dugandzic A., Zivanovic-Posilovic G., Gojkovic S., Kovacevic J., Vrdoljak L., Mirkovic I., Kokot A., et al

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Mechanistic studies examine its interactions with nitric oxide signaling, prostaglandin pathways, and gastrointestinal dopamine and serotonin turnover, including their relevance to experimental models of intestinal inflammation and gastrointestinal dysfunction

It is only available for prescription use and is administered by injection or, in severe cases, an IV drip