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The AAFP recommends injectable therapy when rapid improvement is needed for severe deficiency or serious neurologic involvement

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People with conditions that complicate the vitamin B12 absorption, such as Crohns disease

Cox HD, Smeal SJ, Hughes CM, Cox JE, Eichner D

As a matter of fact, no doctor will -at first impression- consider that my patient Charles, mentioned earlier, who needs three strong types of medication to suppress his severe neuropathy symptoms, needs so many medications because he is suffering from the placebo effect

Natural dietary sources, such as meat, fish, poultry, dairy products, fortified cereals, and nutritional yeast, also contribute to maintaining an adequate intake of essential nutrients