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If you and your doctor decide to transition from injections to oral therapy, two things are essential for your safety: Strict Daily Adherence : Because passive diffusion relies on a daily supply of B12, missing your pill frequently puts you at a higher risk of relapse compared to receiving a guaranteed intramuscular injection [14]

Patients should be educated about symptoms, treatment should be discontinued if pancreatitis is suspected, and should not be restarted if pancreatitis is confirmed