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doi: 10.1111/j.1753-4887.2000.tb01862.x 4

A vitamin B12 injection is generally very safe and has no side effects including administration in higher doses

Interrupting or postponing treatment with vitamin B12 causes harm, both physically and psychologically

It is unclear whether the mycobacteria are reaching the spleen through hematogenous disseminated infection or have disseminated into the lung capillaries and hence to the spleen