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Over the past few decades, a number of publications and two randomised controlled trials have demonstrated that oral B12 is as efficacious as intramuscular injection, especially for normalising metabolic markers of cobalamin deficiency [9-13], and is also cost-effective [14]

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Evidently, relative volume changes (the congested vessels (superior mesenteric vein and inferior caval vein, since the trapped volume, congested liver and lung), dilated heart and collapsed vessels (not functioning azygos vein) and swollen brain) occurred as a part of the previous failure during intra-abdominal hypertension-induced compression and further worsening upon decompression-reperfusion (Table 2)