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Si no se observa mejora transcurridos 9-12 meses, el suspender el tto

Post-Surgical Care: Patients who have undergone gastrointestinal surgeries, such as gastrectomies or ileal resections, may face challenges in absorbing B12 from food due to changes in the digestive process

found that people with pernicious anemia, on stomach acid meds, or with digestive problems might need different B12 types

Ensure all experimental procedures comply with local and institutional regulations

- continue to regularly monitor B12 status every 3-6 months to ensure levels stabilize well within acceptable range

Some birth defects may also cause the spinal canal to narrow