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1 Patients with DCM typically present with variable degrees of upper and lower limb neurological deficits, including numbness, clumsiness, gait impairment, and motor weakness

back to 600 mcg/day, Weeks 58

Vial Integrity: Extreme conditions can affect the glass or plastic of the vial and the rubber stopper, potentially leading to micro-cracks, leaks, or changes in the stoppers sealing ability

Patients should be offered this alternative after an informed discussion on the advantages and disadvantages of both treatment options. oral vitamin B12 is an effective alternative to vitamin B12 IM injections Cochrane Review