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Your prescriber can help you distinguish between normal adjustment and genuine intolerance

In the meantime, vitamin B12-fortified foods and supplements remain the most reliable source of vitamin B12 for vegetarians and vegans

Investigation includes liver function tests, renal function, full blood count, and imaging if malignancy or liver disease suspected

Typical administration involves intramuscular or subcutaneous injection, with dosing individualized based on the severity of deficiency and clinical response

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