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It is now acknowledged that PE likely develops because of several distinct underlying etiologies (3, 4, 5, 6, 7)

High-dose oral cyanocobalamin (1,000 mcg daily) or intramuscular hydroxocobalamin injections are the preferred supplementation routes, as both bypass the need for intrinsic factor

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As B12 is essential for the production of red blood cells and proper nervous system function, its deficiency can disrupt these processes and lead to symptoms like gastrointestinal discomfort and poor appetite, which may contribute to unintended weight loss