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USA 113 (22), e3130e3139

A WHO consultation identified the most vulnerable groups as elderly individuals, infants, preschool-aged children, and pregnant or lactating women, due to either increased nutritional demands or impaired absorption capacity ( Addressing the prevention of B12 deficiency and its public health implications requires a comprehensive, life-course approach based on integrated strategies targeting early detection, dietary optimisation, and effective supplementation, in order to mitigate the long-term consequences of inadequate cobalamin status (Organization, 2000)

The process is quick and virtually painless

People with Malabsorption Disorders : Conditions like celiac disease or Crohns disease can hinder vitamin B12 absorption

Therefore, we suggest that our case report may contribute to the formation of standardised desensitisation protocol in vitamin B12 allergy

If nausea persists, trying pre-bed dosing is an option, though this may slightly reduce efficacy by separating the peptide from morning cortisol elevation