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Risk factors for B12 deficiency include strict vegetarian diets, gastrointestinal conditions, and certain medications
For vitamin B12 deficiency caused by autoimmune gastritis, or after a total gastrectomy or complete terminal ileal resection, NICE recommends lifelong intramuscular replacement
Amounts of vitamin B12 that are recommended by the Food and Nutrition Board, National Academy of Science-National Research Council for lactating women (4 mcg daily) should be consumed during lactation
They also help make changes as needed
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This maintenance phase is key to keeping the benefits from the first phase
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