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Vitamin B12 is an essential component that is involved in a wide variety of processes that are important to our overall health

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You should also contact your GP if: You are unable to attend scheduled maintenance injections, as missing doses can lead to symptom recurrence You develop new symptoms that might indicate other deficiencies or health problems You are planning pregnancy, as B12 requirements may change You experience persistent side effects such as headaches, dizziness, or gastrointestinal symptoms If you experience any side effects, talk to your doctor, pharmacist or nurse

Acknowledgments We thank the Siddhi Memorial Foundation in Bhaktapur for providing excellent facilities to undertake this study