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If improvement plateaus or symptoms persist despite treatment, further investigation may be warranted to identify other contributing factors or alternative diagnoses

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But if a patient suffers from conditions that prevent him from absorbing the vitamin from his diet, a lifelong intake is commonly required for health

This presents a challenge for individuals following vegetarian or vegan diets, as plant foods do not contain reliable amounts of B12

Correcting a deficiency requires an initial series of frequent doses to build up your levels, while a wellness plan focuses on regular maintenance shots to keep you feeling your best