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During pregnancy, adequate B12 levels support the rapid cell division required for fetal growth and development, particularly in the formation of the neural tube and brain

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Further, Tesamorelin's N-terminus is adorned with an acetyl group (CHCO-), a modification that might further amplify the molecule's stability and biological efficacy

The standard schedule is a starting point, not a strict rule The 2024 NICE guideline NG239 on B12 deficiency in over 16s makes an important point: the optimal route, dose and frequency of B12 replacement have never been firmly established, and have often followed custom and historical practice