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Maintenance phase: Once your levels are healthy and symptoms improve, we move to a maintenance schedule, which might be a monthly shot or a return to high-dose oral supplements if your absorption allows

So, if you are eating a varied diet and do not have a laboratory-documented vitamin B12 deficiency, you do not need additional supplementation. However, she explains people who subscribe to strict vegan or vegetarian diets are much more likely to be at risk of vitamin B12 deficiency, and they should take supplemental B12, especially when pregnant or trying to become pregnant

Pale or Yellowish Skin : Skin color changes due to low red blood cells

Many neurodevelopmental and neurodegenerative diseases are linked to protein mutations essential for SV recycling 3,4