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High dose oral cobalamin may be a suitable alternative in selective cases, where intramuscular injections are not tolerated and compliance is not a problem

Like choline, it helps to reduce the amount of fat in the liver

Commonly studied in signalling pathway research

Prediatr., 551-556, 1981

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The legal relevance comes from duration, severity and clinical documentation that establish the injury as a reaction to improper vaccine placement or local trauma rather than routine soreness