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This may be relevant for people with malabsorption disorders such as Crohn's disease or coeliac disease, though it's important to note that for pernicious anaemia, intramuscular hydroxocobalamin injections remain the first-line treatment in the UK, as recommended by NICE and the British Society for Haematology

To view a copy of this license, visit About this article Cite this article Rose, S., Melnyk, S., Pavliv, O

Although some patients reach their plateau earlier, it can take over a year for the drug to reach full effectiveness