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Where deficiency is confirmed, treatment may include oral supplementation (for dietary insufficiency or mild malabsorption) or intramuscular hydroxocobalamin injections (for pernicious anaemia or severe malabsorption), as per NICE and British Society for Haematology guidelines

Check with your doctor right away if you have gaseous stomach pain, indigestion, recurrent fever, severe nausea or vomiting, stomach fullness, or yellow eyes or skin

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A bigger area may need more sessions

Thus, the organization of these cells, i.e., ependymal, ependymal-like, and type B cells, confers a pinwheel architecture to the ventricular surface (Mirzadeh et al., 2008)