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Typically, intramuscular treatment for dietary vitamin B12 deficiency begins with a loading dose followed by maintenance therapy, contrasting with the steady daily doses used in oral treatment due to limited passive absorption

126 Furthermore, Kaur et al 127 proposed that the entry of SARS-CoV-2 facilitated by nsp14 protein in the host cell allows the use of cell S -adenosylmethionine for viral RNA capping, culminating in an increase in the Hcy production and angiotensin-converting enzyme-2 activation, which will facilitate greater viral entry into cells

The intrinsic factor-mediated absorption pathway can process approximately 1.52 micrograms per meal , with any excess absorbed through passive diffusion at a rate of about 1% of the ingested dose

Observing these signs can help in early identification and treatment