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instead, the applicant generalizes the clinical claims to all ureteroscopy procedures

Regular monitoring is therefore essential for at-risk populations, even when dietary intake appears adequate

Where deficiency is confirmed, treatment may include oral supplementation (for dietary insufficiency or mild malabsorption) or intramuscular hydroxocobalamin injections (for pernicious anaemia or severe malabsorption), as per NICE and British Society for Haematology guidelines

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