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[DOI] [PubMed] [Google Scholar] Saini R

Since the microbiome contributes to systemic immunity and can metabolise certain drugs, this may represent an indirect mechanism affecting both host susceptibility to TB and the bioavailability of orally administered anti-TB agents (Leite et al., 2022

Prompt parenteral (intramuscular) B12 treatment is recommended in such cases, in line with BSH guidance, to prevent further or irreversible neurological injury