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If the elevation is unexplained, reducing B12 isnt the goal
And simply adding membranes everywhere is often too costly or operationally demanding
Doses are usually smaller than IV infusions, given more frequently
This does not mean injections are unnecessary it means they are not automatically superior for every patient
+ Antiscrtoires inhibiteurs de la pompe protons Risque de carence en cyanocobalamine aprs traitement prolong (quelques annes), la rduction de l'acidit gastrique par ces mdicaments pouvant diminuer l'absorption digestive de la vitamine B12
