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This is because the risk of toxicity and serious adverse effects from an overdose is rare
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Unfortunately many doctors do not take into account neurological symptoms and the patient is automatically placed onto a three monthly maintenance dose of B12 injections after loading doses
Hydroxocobalamin: Hydroxocobalamin is naturally produced by bacteria in the digestive tract when food is broken down and converted into methylcobalamin and adenosylcobalamin
The overall quality of evidence for this outcome was low due to serious imprecision (low number of trials and participants)
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