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Conclusion This systematic review and meta-analysis indicate that sublingual and oral vitamin B12 administration provide efficacy comparable to intramuscular injection in improving serum cobalamin levels and reducing hyperhomocysteinaemia

physicians should use caution when interpreting laboratory results in these patients

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Hepatic effets: Elevations of one or more of the liver enzymes may occur with diclofenac treatment

B12 shots have been shown to boost mood, increase energy, and provide an improved sense of well-being

10 = severe], the rating should be no higher than a 1-2 depending on the sensitivity of the child