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I'm in the UK which is why I believe the help wasn't available to come off the Oxycontin as the problems it causes are not as well known over here
As for transcobalamin II deficiency, an observational case series of 30 patients revealed that IM administration of 1 mg of OH-Cbl or CN-Cbl weekly for a lifetime appears to be a suitable treatment regimen (Trakadis et al., 2014)

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