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You may be interested in reading: Who is at risk of Vitamin B12 deficiency

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This immediately flags a common cause: Dietary Factors: Vegans and strict vegetarians are at a higher risk of deficiency if they dont consume fortified foods or supplements

However, when damage has already occurred or occurs as the result of using prescribed medications, it is essential that you follow the right steps

Within 48 hours after injection of 100 or 1,000 mcg of vitamin B12, 50 to 98% of the injected dose may appear in the urine

Avoiding these pitfalls comes down to one thing: methodical diligence