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27 Possible reasons underlying the aversion of doctors to prescribe oral cobalamin include a lack of dissemination of evidence in favour of oral therapy, and issues regarding inefficient absorption, especially in co-morbid conditions such as coeliac disease

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Bacteriostatic water is available through US retail pharmacies — Walgreens, CVS, Walmart, and independent chains all have access to Hospira/Pfizer product through their pharmaceutical distributors