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Institute for Health Metrics and Evaluation (IHME)
In patients who still experience symptoms of deficiency, it could be that there is an undiagnosed condition preventing the body from absorbing the nutrients
In the UK, B12 injectionstypically hydroxocobalaminare prescribed through the NHS for documented deficiency states such as pernicious anaemia or malabsorption disorders
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References Wilding JPH, Batterham RL, Calanna S, et al

This patent also covers the target patient population and relevant dosing