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In the states, cyanocobalamin is the gold standard and is easily obtainable but I suspected I was getting other issues so I switched first to methyl and then hydroxocobalamin which is more easily converted to the forms the body can uptake and use

The prognosis largely depends on the underlying cause and the individuals response to treatment

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Sokol RJ, Heubi JE, Butler-Simon N, McClung HJ, Lilly JR, Silverman A: Treatment of Vitamin E Deficiency During Chronic Childhood Choleostasis With Oral d--Tocopheryl Polyethylene Glycol-1000 Succinate

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