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The AAFPs evidence-based clinical review states directly: Oral administration of high-dose vitamin B12 (1 to 2 mg daily) is as effective as intramuscular administration for correcting anemia and neurologic symptoms in patients with B12 deficiency (Langan RC, Goodbred AJ, American Family Physician, 2017)

The absence of IL31 and NGF mRNA in leukocytes from the volunteers suggests that the proteins they encode, which were previously found to be elevated in the plasma samples of patients with VCD during the recruitment appointment four months after mild acute COVID-19 4 , might be primarily produced by other cell types 40,41,42