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B12 is contraindicated in Lebers Disease (a hereditary optic nerve atrophic condition), clients with chronic liver and/or kidney dysfunction, or abnormal red blood cells (megaloblastic anemia)

[DOI] [PubMed] [Google Scholar] 111.Lieverse RJ, Jansen JB, Masclee AA, Lamers CB

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Upon taking a history, the woman, who had not suffered from acne before, had recently received 3 weekly injections of vitamin B12, administered privately by a nurse in a local beauty salon without any screening for vitamin B12 deficiency

International Journal of Molecular Sciences .

BOMSS and NICE recommend lifelong nutritional supplementation and regular blood monitoring following sleeve gastrectomy to prevent irreversible nerve damage