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Parul Sahni (2021) The screening and treatment of vitamin B12 deficiency

Lack of absorption and genetic factors may also contribute to vitamin B12 deficiency

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You should maintain a routine until your symptoms clear up, and then follow your doctors specific maintenance regimen if you suffer from conditions that lead to B12 deficiencies or already have a deficiency

Patients with vitamin B12 deficiency and concurrent renal or hepatic disease may require increased doses or more frequent administration of cyanocobalamin