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Treatment usually involves B12 injections, high-dose oral B12, sublingual B12, or nasal B12 spray to bypass the intrinsic factor-dependent absorption pathway - consult your healthcare provider for appropriate options

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[DOI] [PubMed] [Google Scholar] 33.Merkus F.W., Verhoef J.C., Marttin E., Romeijn S.G., van der Kuy P.H., Hermens W.A., Schipper N.G