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High-dose oral therapy (10002000 micrograms daily) can be effective even in pernicious anaemia, as approximately 1% of B12 is absorbed through passive diffusion independent of intrinsic factor

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[DOI] [PubMed] [Google Scholar] 11.Zhang Y, Proenca R, Maffei M, Barone M, Leopold L, Friedman JM

Maybe the mom can make an appointment with the physician for a lesson on how to do it
