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Your doctor may suggest injections or nasal gels for Vitamin B12 deficiency in pregnancy

[DOI] [PubMed] [Google Scholar] 236.Reddy D.S., Rogawski M.A

Nutritional deficiencies need to be considered first as differentials in pancytopenia, even in the absence of typical signs of vitamin B12 deficiency (like macrocytosis and hypersegmented neutrophils) and in the presence of compelling clinical indications pointing to a hematologic malignancy

Your GP may recommend blood tests to check thyroid function and electrolyte levels, and possibly vitamin B12 status (particularly if you also take metformin), as deficiencies or imbalances in these areas can contribute to neurological symptoms

Chronic, excessive doses of ascorbic acid can cause an increase in its own metabolism, which can cause scurvy if normal and supplemental intake are significantly reduced or discontinued

For these, keep vials away from light and never expose them to room temps for more than a few minutes at a time