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At typical dietary doses, B12 is absorbed at a rate of about 40-50% by way of intrinsic factor

If metabolic warning, blood and urine tests should be obtained, followed by delivery of 10% dextrose-containing intravenous fluid at a rate of 1.5 times maintenance (simultaneously with fluid boluses as necessary) ( If neurologic signs, perform magnetic resonance imaging (MRI) of the brain or computed tomography (CT) to rule out intracranial lesions, brain tumors or referral to a neurologist

J., de Pablos R

[DOI] [PubMed] [Google Scholar] Cornell J

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