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Toh BH et al
Luckily, dealing with the pain after an injection is a straightforward and simple process

When shots make sense (and when they don't) Injections are the right call in specific situations: confirmed severe deficiency, pernicious anemia (where intrinsic factor is absent), or documented malabsorption that has failed to respond to oral supplementation

US patent 14/394,9992013

Then maintenance treatment can begin

Deanol and methylphenidate in minimal brain dysfunction