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NICE CG189 advises that patients should be counselled about the lifelong need for vitamin and mineral supplementation before surgery takes place, ensuring informed consent includes an understanding of nutritional responsibilities

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Factors Influencing Dosage and Frequency Several factors can influence the dosage and frequency of Vitamin B12 injections: Severity of Deficiency: More severe deficiencies require higher doses and more frequent injections initially

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Animal safety data has not identified a toxic dose, but that does not replace physician guidance

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