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A consultation with a Primary Care Provider is still a good idea if: Your B12 levels are persistently low or high without explanation You have a family history of autoimmune conditions or GI cancers You are vegan, over age 60, or on long-term medications that may interfere with B12 If symptoms persist, especially if they worsen, seeking medical attention is important to determine the cause and start appropriate treatment, says ter Keurs

Once the vitamin B12 reserves reach their normal levels, the injection of vitamin B12 will be needed as maintenance shot once every one to three months to prevent any of the symptoms of deficiency from returning

It is especially important during pregnancy, for babies, and for those in close contact with young infants

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[DOI] [PMC free article] [PubMed] [Google Scholar] 184.van den Broek JJ et al