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When You Might Need Higher B12 Doses While the standard RNI of 1.5 mcg per day suffices for most healthy adults, certain medical conditions, dietary patterns, and medications can substantially increase B12 requirements or impair absorption, necessitating higher therapeutic doses under medical supervision

Hopefully, my reaction will be less severe than the first and any reactions clear up soon

Intrinsic Factor replacement Intrinsic Factor replacement is another treatment option for pernicious anemia

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IBD is one of the most common underlying causes of cobalamin deficiency in adult dogs