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The 2023 restriction collapsed the legal supply

Administration Routes Discussed in Medical Literature Administration routes discussed in the literature include oral study tablets, intravesical administration, intra-articular injection in a clinical report, and IV or IM administration in animal pharmacokinetic studies [10] [12] [13] [14]

Initially, Evans syndrome was suspected, but further laboratory investigations, including a peripheral blood smear and elevated mean corpuscular volume (MCV), led to the diagnosis of profound vitamin B12 deficiency

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