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When symptoms do occur, they usually reflect underlying conditionssuch as liver disease, haematological disorders, or renal impairmentrather than the elevated vitamin itself
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In sharp contrast, someone whose deficiency is purely diet-related might just need a short series of shots to replenish their stores before they can switch to high-dose oral supplements
The table shows cyanocobalamin is effective and affordable, but hydroxocobalamin lasts longer
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