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Zoonotic events are probably highly underestimated due to poor surveillance [20]

Supplementation strategies vary depending on the underlying cause of deficiency or risk factors: Oral supplements (typically 25-2000 micrograms daily) are suitable for individuals with adequate intrinsic factor production but insufficient dietary intake Sublingual or buccal preparations have no proven superiority over standard oral tablets at equivalent doses Intramuscular injections (usually 1000 micrograms of hydroxocobalamin) are the preferred treatment for pernicious anaemia and severe malabsorption

Cognitive Restructuring: Cognitive restructuring involves identifying unhelpful automatic thoughts (such as catastrophising or black-and-white thinking), evaluating the evidence for and against them, and developing more balanced alternative thoughts

Peso molecular340.38 g/mol CHCuNO