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Note: For complete details, please review product monographs at and regularly review current Health Canada advisories, warnings and recalls at: for the most up to date information.) Table 4: Treatment of B 12 deficiency (adapted from Means 2021) 27 Note: Intranasal administration is generally not used

These include: Vegetarians and Vegans : Since B12 is primarily found in animal products, those who follow plant-based diets may be at a higher risk of deficiency

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The BSH recommends that treatment decisions should be based on clinical presentation rather than borderline laboratory values alone

It is also vital in the metabolism of every cell in the body and is used in DNA and fatty acid synthesis and energy production

All medications are prepared under pharmacist supervision and provided through licensed clinicians