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During childhood, concentrations of tHcy in plasma were largely stable (mean 58 mol/l) under treatment with OHCbl 1 mg IM every other week given by the local pediatrician

PMID 12183861

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Some medical conditions like individuals with gastrointestinal disorders such as Crohns disease, and celiac disease, or those who have undergone gastric bypass surgery may also be at risk of developing vitamin B12 deficiency due to impaired absorption