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While no maintenance dosage adjustments are required for age or organ function, clinicians must remain vigilant for patient-specific factors
Patients with pernicious anaemia, malabsorption disorders (such as Crohn's disease or coeliac disease), or following gastric surgery require regular B12 supplementation to prevent serious complications including megaloblastic anaemia and neurological damage
Constipation from slower gastric transit
A quick health questionnaire followed by a brief blood draw ensures precise dosing
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