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Our network meta-analysis, while reaching similar conclusions to another recent network meta-analysis regarding the more pronounced effect of s.c

Best Pract Res Clin Endocrinol Metab (2005) 19(1):1732

I think this is the first time I've changed my practice so much due to anecdotal evidence

The AAFP advises that injectable therapy leads to more rapid improvement and should be considered in patients with severe deficiency or severe neurologic symptoms (Langan RC, Goodbred AJ, 2017)