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Folate is needed for development and growth of cells (including red blood cells) and synthesis of DNA (genetic material)
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Contraindications & Precautions Hypersensitivity to methylcobalamin Caution in patients with kidney or liver disorders Use during pregnancy and lactation only if prescribed Who should not take methylcobalamin injection
Advantages of oral form over IM injection: Less nursing time on injections Less complexity of care Less discomfort/pain Less bleeding in patients who take anticoagulants Less costly according to some analyses Disadvantages of oral form over IM injection:: Greater risk of non-compliance In 1991, a survey done on Minneapolis internists led one commentary to conclude that oral vitamin B 12 replacement for pernicious anemia was one of medicines best kept secret. 18 In 1996, when the survey was repeated again in the same area, awareness and use of oral vitamin B 12 for pernicious anemia had increased substantially (019%), but the majority of doctors still remain unaware of this treatment option (61%)
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