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If you eat very little meat, fish, eggs, or dairy or none at all dietary B12 is likely insufficient

This review aimed to provide an update on the impact of pregnancy on the natural course of hepatitis B virus (HBV) infection and also on the impact of HBV infection on adverse pregnancy outcomes, including mother-to-child transmission (MTCT)

A 2005 study concluded that oral vitamin B12 and intramuscular (IM) vitamin B12 have similar effects in terms of normalizing serum vitamin B12 levels.(7) The treatment and maintenance of a B12 deficiency largely depends on what has caused it