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The secondary outcomes will be the serum vitamin B12 concentration (pg/ml), adverse events (description, moment of onset and resolution, intensity, cause, steps taken), adherence to treatment (measured at each patient visit via the number of vials used for patients in the oral arm, and the number of injections given in the intramuscular arm), quality of life (measured using the EuroQoL-5D questionnaire), and patient satisfaction and preferences

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In an open letter, the Society of Professional Journalists, Freedom of Press Foundation, the National Association of Black Journalists, along with others, urged their colleagues in the White House press corps to make a statement about what they termed the most systematic and comprehensive assault on freedom of the press by a sitting American president

It can cause severe deficiency even with an adequate B12 intake