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With major vascular occlusions, there was, at the periphery, the leading role of the rapid heart disturbances, and thereby, heart, lung, liver, kidney and gastrointestinal lesions, inferior and superior vena caval congestion, azygos vein failure, portal and caval hypertension and aortal hypotension occur [14,15,16,17,18,19,20]

PMID: 34791425 14 Efficacy of sublingual and oral vitamin B12 versus intramuscular administration: insights from a systematic review and meta-analysis

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In children with macrocytic anemia, a clinical trial by Tandon et al found that the parenteral protocol achieved better levels of B12 and hemoglobin than the oral protocol

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See the storage section for context