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Epidural Steroid Injections
doi:10.1038/clpt.2010.57
Injections are favored for severe deficiency, malabsorption (e.g., postGI surgery, chronic diarrhea), very low B12 levels with neurologic signs, poor adherence, or when rapid repletion is needed
Cyanocobalamin is primarily prescribed for vitamin B12 deficiency, which can occur due to a variety of conditions such as pernicious anemia, prolonged use of certain medications, surgery in the gastrointestinal tract or dietary deficiencies
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