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Vitamin B12 should not be taken by children, pets, those who are pregnant or breastfeeding, or those who are allergic to any of the ingredients in vitamin B12 (Methylcobalamin)

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Trial dosing follows a stepwise escalation from 12 mg up to maintenance doses of 4 mg, 8 mg, or 12 mg subcutaneously once weekly

Patients should weigh themselves at the same time of day (ideally first thing in the morning after voiding) and wearing similar clothing to ensure consistency

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