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Oral B12 (50150 g daily) may be appropriate for dietary deficiency without neurological involvement, but intramuscular hydroxocobalamin injections remain first-line treatment in the UK for patients with nerve symptoms or malabsorption conditions

Hydroxocobalamin( vitamin b12 injection) starts to work straight away

Knowledge of these risks is important prior to starting any injectable therapy

By layer-by-layer assembly of biocompatible polymer nanoshells onto bacterial surfaces, this strategy confers robust protection to viable bacteria against gastrointestinal stressors, including gastric acidity, proteolytic enzymes, and rapid luminal transit [135]