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[1] However, for pernicious anaemia or deficiency with neurological symptoms, intramuscular hydroxocobalamin is the recommended treatment in the UK

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10.1016/J.CATCOM.2024.106888 74

subcutaneous or intramuscular

Second, the gut can act independently as if it has a mind of its own: due to local reflex circuits, the ENS is capable of functioning with and without input from the central nervous system (Fleming II et al., 2020)