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IM injections are the standard for rapidly restoring B12 levels, particularly in severe cases and patients with absorption issues
Severe GI adverse reactions have also been reported postmarketing with GLP-1 receptor agonists
This includes: Pernicious anemia Crohns disease or celiac disease Gastric surgery or gastrointestinal disorders For mild deficiency, starting with 1,000 mcg of Vitamin B12 weekly is common
This seems silly today, with a D-pad second nature to everyone, but we had all been conditioned to expect joysticks in console gaming, beginning with the Atari VCS (and these were supported across all PCs of the time, too)
To properly diagnose MCL injuries, doctors usually perform this test in combination or in addition to other physical exams
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