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The panel agreed that initial treatment should be parenteral for severe cases, while high-dose oral B12 can be considered for maintenance

Katkam 2 1 Department of Biochemistry, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalurm Tamilnadu, India 2 Department of Biochemistry, Dr

While nausea is a common side effect of all these medications, its severity and frequency may vary, and it often improves as the body adjusts to the medication