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It should not be administered in systemic infections or in patients with systemic fungal diseases
Its even more vital for pregnant or lactating women who are vegetarian/vegan to consume enough B12, as infants are at higher risk for B12 deficiency (7)
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This makes injections highly effective for pernicious anaemia and other malabsorption syndromes, including post-gastrectomy states, Crohn's disease affecting the terminal ileum, and certain medications that interfere with B12 uptake
For long-term maintenance therapy, oral vitamin B12 replacement can be effective in patients with pernicious anemia
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