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Guideline 2: Maintenance Dosing Schedules After the first phase, patients move to a maintenance dosing schedule for vitamin B12 therapy

According to the NIH Office of Dietary Supplements, vitamin B12 is available as cyanocobalamin and hydroxocobalamin, which are typically administered parenterally by intramuscular injection to bypass gastrointestinal absorption barriers

Avoid if pregnant, breastfeeding, or planning pregnancy

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A lack of vitamin B12 can lead to vitamin B12 deficiency anaemia which causes the body to produce abnormally large red blood cells that cannot function properly to carry oxygen around the body, leading to nerve damage or neuropathy