Poor circulation and a low red blood cell count are indicators of anemia, a serious condition where oxygen delivery to the bodys cells, especially peripheral cells in the feet and hands, is limited
This presumption can have damaging effects for patients with neurological symptoms, which can become irreversible with insufficient treatment
Patients who have had bariatric surgery should receive 1 mg of oral vitamin B 12 per day indefinitely
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For confirmed significant deficiency, a loading protocol with more frequent injections may be recommended initially
A daily dose of 50 g of vitamin B 12 or placebo is given to women from early pregnancy, not later than week 15, until 6 months after birth