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That is far beyond the static subcutaneous examples on this page and shows why oral and injected amounts should not be treated as interchangeable

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In addition to this many Doctors may be using the standard lab value reference range instead of the optimal reference range

The vitamin B12 deficiency involved in pernicious anemia is not brought on by inadequate diet, but rather by a relatively rare condition that inhibits the absorption of vitamin B12 in the gut, per MedlinePlus Medical Encyclopedia