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Requirements of vitamin B 12 in excess of normal (due to pregnancy, thyrotoxicosis, hemolytic anemia, hemorrhage, malignancy, hepatic and renal disease) can usually be met with oral supplementation
Children with inherited metabolic disorders or malabsorption syndromes may need lifelong B12 therapy
Water purification system: Aipak Water Purification System Sterile water for injection, which is required to make vitamin b12 injection for dogs, is produced by a highly controlled water purification system
This long-term treatment keeps vitamin B12 levels right, stopping future deficiencies
Each has its own evidence base and safety boundary
Concomitant medicines : Clinicians should review all concurrent medications, particularly insulin or sulfonylureas, given the potential for hypoglycaemia with incretin-based agents
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