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All patients diagnosed with low levels of vitamin B12 should receive replacement therapy with either oral or parenteral vitamin B12 therapy, which are equally effective.9 Oral therapy is less expensive and more convenient than injection therapy since a healthcare provider must administer the injections in an office setting

This balanced approach potentially superior to conventional anti-inflammatories that broadly suppress beneficial and harmful inflammation equally

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Unrecognized or hidden allergens can be particularly challenging to identify although they appear to be an uncommon cause of unexplained MCA [27]