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Finally, if the serum cobalamin concentration at the time of reevaluation is subnormal, further work-up is required to definitively diagnose the underlying disease process and cobalamin supplementation should be continued weekly or bi-weekly (for parenteral supplementation) or daily (for oral supplementation)

[DOI] [PMC free article] [PubMed] [Google Scholar] 252.Liu A.H., Bondonno C.P., Croft K.D., Puddey I.B., Woodman R.J., Rich L., Ward N.C., Vita J.A., Hodgson J.M

Begin with the bottom dose, monitor effects, and consult a health professional

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Grossman Dr
