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The strength here lies in their ability to circumvent this fundamental bodily barrier
Current supplementation protocol calls for repeated parenteral injections of hydroxycobalamin over 6 weeks bypassing the diseased tissue
This can generally be managed by combining propofol with a low-dose vasopressor infusion (e.g., phenylephrine or norepinephrine) to counteract the vasodilation caused by propofol
If the patient is suspected to be sensitive to cobalt or other components of cobalamin, an intradermal test dose is recommended
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