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StatPearls notes that high-dose oral B has been shown effective for maintenance, but recommendations are to always use the parenteral route in severe neurological manifestations

1 2 "Synthesis of Cyanocobalamin by Robert B

I have seen 11 doctors and the only b12 test they will give me is the serum

10.1074/jbc.272.42.26497 18

Cholecalciferol is metabolized to its active form, calcitriol, which increases the bodys absorption of calcium and phosphorus

Alternatives, such as the anterior approach described by George Beck in 1963 and the lithotomy approach described by Prithvi Raj in 1975, were devised to allow the sciatic nerve to be blocked in the supine patient