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Hydroxocobalamin is the preferred agent in this patient population (see separate monograph in Less Common Drugs)
Guardado Mendoza R, Perego C, Finzi G, et al
Multiple approaches were investigated across academic and industrial laboratories, including enteric coatings to bypass stomach acid, protease inhibitor co-formulations, nanoparticle encapsulation, mucoadhesive delivery systems, and permeation enhancers
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