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For patients with confirmed pernicious anaemia or malabsorption disorders, injectable therapy remains the recommended first-line treatment according to NICE CKS guidance, as oral supplementationregardless of dosecannot reliably correct deficiency in these circumstances

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The muscles need T3 and the heart is a muscle and has large receptor sights for T3

Vitamin E is also associated with neuromuscular function maintenance, just as B complex vitamins (vitamin B1 and vitamin B9) that are essential for the neurological system

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