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Inform the doctor if symptoms persist or if you have allergies to Vitamin B12, Vitamin B6, Nicotinamide, or any injectable medicine

Vitamin B12 is especially important for women who are pregnant or may be breastfeeding to help with the growth and development of their baby as well as protect them from birth defects and miscarriages or anemia

To sum it all up: If your body has inadequate levels of vitamin B12, start with injections every day or every other day for one to two weeks

Patients should be informed of the pros and cons of oral versus parenteral therapy, and regardless of the form of treatment, those with pernicious anemia or malabsorption should be reminded of the need for lifelong replacement