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In the past few years, this problem has been greatly improved through food fortification and supplementation
Some fortified plant-based foods, such as breakfast cereals and nutritional yeast, also contain vitamin B12
Because your client base may include Alaska-based workforce (possibly transient, high-stress, limited access to consistent training/diet) youd want to emphasise ease of injection, monitoring, clear lifestyle guidelines and realistic expectations (especially given the dark winters, stress, etc)
Vitamin B 12 is excreted in breast milk
Diagnosis should be confirmed via GP-arranged blood tests before treatment is started
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