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NHS and BNF recommendations typically include: Oral cyanocobalamin 50150 micrograms daily for dietary deficiency Intramuscular hydroxocobalamin for malabsorption or neurological involvement (initially 1 mg every other day for 1-2 weeks for neurological symptoms, or 1 mg 3 times weekly for 2 weeks without neurological symptoms

Gerdemann A, Cramer B, Degen GH, Veerkamp J, Gnther G, Albrecht W, Behrens M, Esselen M, Ghallab A, Hengstler JG, Humpf H-U (2023) Comparative metabolism of aflatoxin B1 in mouse, rat and human primary hepatocytes using HPLCMS/MS

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Garlic oil reduced the incidence of N-nitrosodiethylamine-induced liver nodules by preventing oxidative damage to lipids and DNA and by promoting apoptosis (76)