Do not massage the injection site, as this can alter the absorption rate
only 3 patients also had a baseline serum methylmalonic acid level, which was 1.29 mol/L in all 3 patients
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Sublingual B12, which bypasses the gastrointestinal tract, is the least invasive and potentially most cost-effective option, especially for individuals with impaired absorption, making it an attractive alternative for long-term and patient-friendly management (Houle et al., 2014
Waist circumference at the navel