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The MHRA wrote the following as a follow up to the meeting: NICEs review The National Institute for Health and Care Excellence (NICE) guidance on Vitamin B12 deficiency, including pernicious anaemia: diagnosis and management is not yet published

Take with 250 mg vitamin C, on an empty stomach if tolerated, and avoid coffee, tea, calcium, and antacids for at least one hour

For patients on established B12 injection therapy, monitoring is based primarily on clinical response and haematological parameters rather than routine serum B12 measurements, which may remain very high without indicating harm or overtreatment

Available at: Accessed 2/14/11

Breastfeeding mothers require increased amounts of B vitamins because they are essential for infant development and are passed through breast milk

How you add the water matters just as much