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In the UK, oral cyanocobalamin is the standard recommendation for dietary deficiency, whilst intramuscular hydroxocobalamin is preferred for pernicious anaemia or malabsorption

30 Patients older than 50 years may not be able to adequately absorb dietary vitamin B 12 and should consume food fortified with vitamin B 12

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Many different medications and treatments have been proposed, from diets and exercise plans to novel foods and nutraceuticals to stimulants to medicines and more