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Some patients hold at lower doses for longer periods if they are experiencing adequate appetite suppression and weight loss
Untreated pernicious anemia can cause vitamin B12 deficiency leading to megaloblastic anemia and neurological disorders, even in the presence of adequate dietary intake of vitamin B12. 7
It can be a sweet spot. Or sometimes its just used as a bridge to the 1.0mg dose
If you are concerned about vitamin D levels, talk to your doctor or midwife about testing
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