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The Typical Starting Dose of 1000 mcg (1 mg) The usual first dose for adults is 1000 mcg (1 mg) of vitamin B12

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The Food and Nutrition Board, the National Academy of Sciences-National Research Council recommend that lactating women should consume 4 mcg of vitamin B12 daily (11)

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Patients with Normal Intestinal Absorption Where the oral route is not deemed adequate, initial treatment similar to that for patients with pernicious anemia may be indicated depending on the severity of the deficiency