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Other immunization procedures should not be undertaken in patients who are on corticosteroids, especially in high doses, because of possible hazards of neurological complications and lack of antibody response

It contains a bacteriostatic agent, so it is not for use in newborns and should be used with caution in pregnancy or where large cumulative volumes could be given, following the relevant warnings

Treatment usually involves B12 injections, high-dose oral B12, sublingual B12, or nasal B12 spray to bypass the intrinsic factor-dependent absorption pathway - consult your healthcare provider for appropriate options

Administering regular B12 injections can help the regeneration of the myelin sheath and protect the nerves

It is a checklist a clinic either meets or does not