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Long-term effects are unknown

The secondary outcomes will be the serum vitamin B12 concentration (pg/ml), adverse events (description, moment of onset and resolution, intensity, cause, steps taken), adherence to treatment (measured at each patient visit via the number of vials used for patients in the oral arm, and the number of injections given in the intramuscular arm), quality of life (measured using the EuroQoL-5D questionnaire), and patient satisfaction and preferences

This damage creates a prothrombotic state, meaning the blood is far more likely to form dangerous clots

Pacholec goes out of her way to cover all area of my care, she always goes over previous visits in detail, never missing anything