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Puking while passed out Unresponsive to normal attempts to wake Breathing is slow, noisy, shallow or has stopped Skin is blue, cold or clammy See even one sign

Moderate to Severe Deficiency: For moderate to severe deficiencies, the dosage may increase to 1,000 mcg several times a week initially, followed by a maintenance dose

The elderly (reduced absorption) Pernicious anemia Vegetarians / Vegans (low dietary B12) People taking metformin or acid reflux medications (PPIs) Post-bariatric or gastric-bypass patients Genetic variants in MTRR , MTR , or TCN2 What Has B12 Been Studied For

I've continued take my acne medication as prescribed over a year ago (and was very effective - until this b12 fiasco, so not very effective at all anymore ) Ugh

Warnings Patients who have early Leber's disease (LHON) a hereditary disease that causes optic nerve atrophy have been found to suffer severe and swift optic atrophy when treated with vitamin B12

Prioritize sleep and stress management to support adherence and recovery