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doi: 10.3389/fbioe.2019.00397 24 De MarchiPLealLFDuval da SilvaVda SilvaECACordeiro de LimaVCReisRM

For a large portion of the population, that conversion simply doesnt happen efficiently

This is the opposite of the intended therapeutic effect

Specific clinical scenarios where injections are the standard of care include pernicious anemia, severe malabsorption syndromes, post-bariatric surgery when oral supplementation has failed, and critically low serum B12 levels accompanied by neurological deterioration
