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The disease is mediated by IgG Abs that bind components of the neuromuscular junctions
On-Label vs Off-Label and Compounded Products Vitamin B12 injections are an established medical treatment for confirmed B12 deficiency and related conditions (for example, pernicious anemia and certain malabsorption states), as summarized by the NIH Office of Dietary Supplements in its Vitamin B12 fact sheet for health professionals
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Certain supplements may also have potential drug interactions
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