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From there, it is gradually absorbed into the bloodstream

Systemic adverse effects appear to be uncommon based on available reports, but comprehensive adverse event profiles are lacking due to the paucity of large-scale clinical investigations

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Searching for the cause of the vitamin B12 deficiency during the diagnostic process, celiac disease, inflammatory bowel disease, Helicobacter Pylori infection were excluded, and tests for Addison-Biermer anemia were taken