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Taking the capsule between meals optimizes the conditions for successful delivery past the stomach

This impairment of DNA synthesis affects the rapidly dividing cells of the bone marrow earlier than other cells, resulting in the production of large, immature, hemoglobin-poor red blood cells (macrocytosis), as well as effects on white blood cells, including abnormal (hypersegmented) neutrophils and reduced overall cell counts (pancytopenia)

8.5 Geriatric Use Reported clinical experience has not identified differences in responses between the elderly and younger patients

Riboflavins Effect: The fluorescent effect of riboflavin is not harmful

Main outcome measures : Participation in the complete audit cycle, comparison of actual use of vitamin B-12 injections with agreed criteria of use , and assessment of improvement in use