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If the patient has vomiting/severe diarrhea on any regimen: Counsel that pill absorption may be compromised
References Shanmugam G (2005) Vasoplegic syndromethe role of methylene blue
However, by this point, you will be deficient in the money you have spent on needless injections, so Save Face recommend a full check-up with either your NHS GP or a private doctor, who can confirm your symptoms and any genuine deficiency with a blood test, and more importantly can prescribe the best type of B12 product and treatment programme to suit your needs.
Instead, concentrate on factors you can control, like diet and exercise
Always consult a licensed healthcare professional for medical advice and for questions about whether this medicine is appropriate for you.
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