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However, niacinamide at physiological doses (like those in prenatal vitamins or moderate supplements) is not known to be harmful

Then other excipients including isotonic agent, pH balancing agent, and preservative are also incorporated to form uniform solution

folic acid may improve anemia but not prevent nerve damage

The good news is that finding a B12 deficiency is relatively simple

Pernicious Anemia Parenteral vitamin B12 is the recommended treatment and will be required for the remainder of the patient's life

Testing and Diagnosis: A proper B12 deficiency diagnosis should always be confirmed by blood tests, as symptoms alone can be misleading