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Children presenting neurological signs or symptoms, those unable to take oral medication, individuals with known malabsorption syndromes, infants under 6 months old, and patients using medications that may interfere with vitamin B12 absorption are typically treated with a parenteral protocol (1)

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Chronic administration of these antibiotics increases the excretion of pivaloyl-carnitine, which can lead to carnitine depletion

Instead of asking, What medication matches this diagnosis? we ask: What systems are out of balance

Bioinformatics 26 , 136138 (2010)

Thats good, but not transformative