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The pernicious anemia, peripheral neuropathy, and cognitive symptoms develop slowly over years
Perlmutter completed his internship at Albert Einstein Medical Center before moving on to his residency at the internationally recognized Wills Eye Hospital , consistently ranked as one of the top two ophthalmology training programs in the world
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Situations where oral administration is not feasible (e.g., anorexia, nausea, pre-op, GI absorption issues)