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Vitamin B12 injections are a prescription treatment used under the supervision of a licensed provider

doi: 10.1073/pnas.0903229106 195 MallaviaL

The clinical signs and autopsy lesions were estimated by semi-quantitative methods: 0 = absence of lesion, 1 = mild, 2 = moderate, and 3 = severe alterations
10.3389/fcimb.2018.00060 49
