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Most B12 in the UK is injected into muscle, but the fatty subcutaneous route is a recognised alternative

In fact, long-term dependence can: Mask underlying dysfunctions Delay proper rehabilitation As clinicians, we need to shift the conversation from suppression to correction

Coefficients of variation from ongoing research from our lab over the course of several years has shown the accuracy of DEXA for body composition to be 3.8, and 4.6% for total body water assessed using bioelectrical impedance spectroscopy

Historical Schilling test results showing impaired B12 absorption correctable with intrinsic factor also confirm the diagnosis