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Different manufacturers can specify slightly different conditions

The ampoules are suitable for initial therapy with 1 ml twice a week as well as for maintenance therapy with proven absorption disorder in the intestine

Finally, the biggest risk is for people who have pernicious anemia, a rare condition in which a person is unable to absorb any B12 through their stomach or intestines people with this condition are the ones who actually need B12 injections

How is this even possible

These factors collectively suggest that the conclusions, while robust, should be interpreted with caution in clinical decision-making