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To support identifying the cause of vitamin B12 deficiency, doctors need to inquire whether the person adheres to a diet that is low in foods from animal sources and should ask the person about disease history, regular use of certain medications, and recreational use of nitric oxide

I self inject and am comfortable adjusting my dosing frequency if I choose to do so

Pregnant and Lactating Women: Adequate levels of vitamin B12 are essential for the healthy development of the baby

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[1] If a rash or generalized itching develops, the injection should be halted and the patient evaluated, as it could be a prodrome of a more serious reaction