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Neural tube defects Neural tube defects (NTD) may result in anencephaly or spina bifida, which are often fatal congenital malformations of the central nervous system

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It just goes to show that the 'B12 deficiency is unlikely in someone so young' is probably right most of the time, but not always

Lipotropic injections encourage the natural breakdown of fat by working in tandem with the body's metabolism

Maintenance dosing schedules: Weekly injections for the first few months Bi-weekly or monthly injections after that Adjusting Frequency Based on Clinical Response The B12 injection schedule might need to change based on how well the treatment works

That is why the human body is prone to vitamin B12 deficiency if ingestion is reduced