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Usually, a high dose is given first, then a lower dose is used to keep levels up
A prenatal vitamin should include B12, but since it is a key nutrient during pregnancy (contributing to fetal development, among other things), pregnant women who are vegan or have another reason to suspect a deficiency should talk to their doctor
The same applies if your elevated B12 is accompanied by abnormal results on other labs (liver enzymes, kidney markers, CBC), or by symptoms like unexplained weight loss, persistent fatigue, abdominal pain, or easy bruising
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