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PMID 16061918

The main difference is how and how often theyre taken

When deficiency does occur, it affects multiple body systems, producing a constellation of symptoms that can range from mild to severe

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2 The British Society for Haematology recommends intramuscular vitamin B 12 for severe deficiency and malabsorption syndromes, whereas oral replacement may be considered for patients with asymptomatic, mild disease with no absorption or compliance concerns