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Selective versus total insulin resistance: a pathogenic paradox

Patients with Normal Intestinal Absorption Where the oral route is not deemed adequate, initial treatment similar to that for patients with pernicious anemia may be indicated depending on the severity of the deficiency

If neurological symptoms worsen or fail to improve after four to six weeks of appropriate treatment , further investigation is necessary to exclude alternative diagnoses or complications

For maintenance in chronic conditions, monthly injections are typical

Seeing your doctor regularly is important

Compounded and FDA-approved medications are not interchangeable