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Imerslund-Grsbeck syndrome is an inherited vitamin B 12 malabsorption syndrome that causes megaloblastic anemia and neurologic disorders of variable severity in affected subjects

Unlike oral supplements, which must pass through the digestive system, IV therapy delivers B12 directly into your bloodstream

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You have no way to determine how much potency has been lost, which means you cannot calculate an appropriate dose adjustment

If fatigue is part of the story, the team can review whether B12 fits the picture or whether broader evaluation would be smarter