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Table 6: Treatment of folate deficiency (adapted from Means 2021) 27 TOP Ongoing Care Ongoing Management Vitamin B 12 Duration of therapy Once a diagnosis of B 12 deficiency due to poor absorption of B 12 has been made, therapy should be maintained lifelong

These bacteria produce the vitamin

FDA labelling for parenteral B-12 products explicitly warns of anaphylaxis risk, making informed consent a regulatory and clinical standard

Daily injections at the beginning are key for: Quickly fixing the deficiency Reducing severe symptoms Getting ready for ongoing treatment Secondary Phase: Weekly Injections for One Month After the first week, injections are given weekly for a month

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