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Pregnant patients with B deficiency should be closely monitored and treated appropriately to ensure healthy outcomes

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Children presenting neurological signs or symptoms, those unable to take oral medication, individuals with known malabsorption syndromes, infants under 6 months old, and patients using medications that may interfere with vitamin B12 absorption are typically treated with a parenteral protocol (1)

Associate Professor, Human Nutrition Canada Research Chair Tier 2 in Micronutrients and Human Health The University of British Columbia The 2025 update was underwritten, in part, by a grant from Balchem Corporation

Function declines faster