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When medication is contraindicated in pregnancy Pregnancy: Use is contraindicated during pregnancy
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Most caregivers reading this article should start with sublingual methylcobalamin and confirm response with repeat lab testing in 8 to 12 weeks

Chronic Conditions: Individuals with chronic conditions that affect B12 absorption, such as pernicious anemia or gastrointestinal disorders, may need regular injections throughout their lives

It is recommended to monitor the GPT to monitor hepatic injury
