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In about a month, she sent him a note on the patient portal saying that the initial dose, while tolerated, was not very helpful

It is so effective that best to do in the morning

Questions about side effects or tolerability arise

A deficiency in vitamin b12 can lead to risks of irreversible neurological damage to the growing baby as they may not be able to properly transport oxygen around their body and into cells for proper development

Specific clinical scenarios where injections are the standard of care include pernicious anemia, severe malabsorption syndromes, post-bariatric surgery when oral supplementation has failed, and critically low serum B12 levels accompanied by neurological deterioration