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11 Women at high risk of or with known vitamin B 12 deficiency should supplement with vitamin B 12 while pregnant or breastfeeding

These quantity-limit denials cant be corrected by appeal

In the event of supply shortages, other FDA-approved products may be available

NHS Guidelines on B12 Treatment and Weight Management The NHS follows NICE and British Society for Haematology guidelines for B12 deficiency management, which emphasise evidence-based diagnosis and treatment protocols

No changes in cancer markers, hormones, liver, or kidney function reported (only monitored in the short term days)

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