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doi.org/10.2174/1381612824666180712110447 Seiwerth, S., et al

For treatment of confirmed deficiency , NHS protocols typically involve hydroxocobalamin injections: initially 1mg three times a week for two weeks for those without neurological involvement, followed by maintenance injections every 2-3 months

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With a rather large grain of salt, based on her nondescript clinical signs and an elevated fPLI, she might have acute pancreatitis

Surgeons may recommend bone marrow transplant in situations where the patients bone marrow is affected by disease and cannot produce healthy blood cells