Methylcobalamin, though more expensive, is often selected for cases requiring neurologic support
Bone marrow aspirates may support the diagnosis of megaloblastic anemia, demonstrating erythroid hyperplasia and megaloblasts with sieve-like nuclear chromatin and megaloblasts with giant, abnormal-shaped stab forms (191)
However, vitamin B 12 deficiency does not generally develop until after at least two-to-three years of continuous therapy (137-139)
Your healthcare provider will consider your individual needs and medical history to determine the appropriate course of treatment
Eating smaller portions helps
[11] In practice, the benefit of treating a true B deficiency in pregnancy, preventing anemia and neurological injury, is considered to far outweigh any theoretical risks, under the guidance of a healthcare professional