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Oral B12 supplementation may be appropriate for: Dietary deficiency in vegans or vegetarians (typically 50150 micrograms daily between meals) Patients who decline or cannot tolerate injections Maintenance therapy in selected cases, though absorption is unpredictable in malabsorption syndromes High-dose oral B12 (10002000 micrograms daily) can overcome absorption defects through passive diffusion and may be considered as an alternative to IM therapy with careful monitoring when malabsorption is not severe or when IM is declined

You can find B6 in a range of foods that are widely available, and easy to add to a balanced meal, says Prescott

in particular, it is unlikely to cause alteration in consciousness

If the solution appears cloudy, discolored, or contains particles that do not dissolve after 10 minutes of gentle rolling, something has gone wrong

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