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This route offers several advantages: it is easy to perform, relatively painless with proper technique, and provides good systemic absorption

+ Antiscrtoires inhibiteurs de la pompe protons Risque de carence en cyanocobalamine aprs traitement prolong (quelques annes), la rduction de l'acidit gastrique par ces mdicaments pouvant diminuer l'absorption digestive de la vitamine B12

High blood levels of homocysteine pose a risk for vascular and cognitive health

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