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In a patient receiving vitamin B12 injections who has a serum B12 level of 1230 pg/mL (reference range up to 771 pg/mL), should the injection dose be reduced or is the elevated level clinically insignificant?

Pyridoxines use in pregnancy, often in combination with doxylamine, has not been associated with teratogenic effects in either the first trimester or later trimesters

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