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Oral crystalline cyanocobalamin (commonly available form) is the treatment of choice
Its important to check how well the treatment is working and adjust it if needed
Taking certain medicines for a long time, like proton pump inhibitors or metformin, can block B12 absorption
According to NICE guidance, hydroxocobalamin injections are the recommended first-line treatment for pernicious anaemia and other malabsorption-related deficiencies
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