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Vitamin B12 is not produced by the body and must be obtained through diet or supplementation

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severe thiamine deficiency, while rare, can cause Wernickes encephalopathy in hyperemesis gravidarum, and inadequate B is associated with anemia and neurologic issues in the newborn

This dosing far exceeds the recommended dietary allowance for vitamin B12 but is appropriate for injection therapy and ensures adequate B12 status even in patients with increased requirements or absorption issues

Some patients find that symptoms return before their scheduled injection and may benefit from slightly more frequent dosingthis should be discussed with your GP rather than self-adjusting treatment intervals

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