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So I thought I'd just come on and explain a little bit more, not as advice, but just from my personal experience

Oral cyanocobalamin is cost effective for treating diet related B 12 deficiency

"Gastric Antral Vascular Ectasia (GAVE) Syndrome" (PDF)
10.1007/s12264-018-0269-8 102 WuH.WeiM.LiN.LuQ.ShresthaS
The license never expires, and so it can be used perpetually without ever renewing technical support
