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It is most useful when a conventional treatment path has been followed and has plateaued
Monitoring: After starting injections, B12 blood levels and hematologic response are monitored
Graham ID, Jette N, Tetroe J, Robinson N, Milne S, Mitchell SL: Oral cobalamin remains medicine's best kept secret
If a product with a water activity of 0.40 aw is exposed to a storage relative humidity of 60%, the product will absorb water from the environment until its water activity is equilibrated 0.60 aw
Appropriate trained and qualified staff may need to be deployed to these locations when time permits, and the capacity of general healthcare staff capacity to provide mental health and psychosocial support should be increased (see the mhGAP Humanitarian Intervention Guide)
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