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Treatment is often initiated at a high dose, followed by a maintenance dose given less frequently, as determined by the patient's B12 levels and clinical response

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Supplementation is unnecessary if parenteral therapy repletes serum levels, but individual assessment is advised

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The National Institute of Health recommends about 2.4 micrograms of Vitamin B12 per day for anyone over the age of 14, with slightly higher recommendations if youre pregnant (2.6mcg) or lactating (2.8mcg)