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You should avoid alcohol or have to follow doctor advice related to diet while taking this medicine

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When stratified by administration route, the average percentage reductions were: Intramuscular (IM): 48.3% Sublingual: 30.7% Oral: 30.3% These results suggest that IM administration leads the most pronounced homocysteine reduction, however, sublingual and oral routes also demonstrate clinically relevant effects

The recommended daily intake (RDI) of vitamin B12 for adults over 19 is Deficiency is common, especially in people who follow a vegetarian or vegan diet

The specific subclass of the IgG response also correlates with severity, with the potent immune-activating IgG1 and IgG3 (and particularly the combination of the two) being the most common in severe cases [181,182,183]