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For individuals allergic to hydroxocobalamin, other alternative forms may be suitable, such as cyanocobalamin, methylcobalamin, adenosylcobalamin (also known as dibencozide), as well as oral vitamin B12 supplements which are available in various formulations like capsules

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doi: 10.1530/eje.1.02028 113 MattsonMPLongoVDHarvieM

Scientific Background Insulin-like growth factor-1 (IGF-1) is an important growth factor involved in cellular growth regulation and metabolic signaling

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Methyl B12 is the most promising treatment for patients with severe neurological symptoms, bypassing several steps in the absorption cycle and helping to relieve or completely reverse symptoms