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British Medical Journal

See what a recent study found in the Update in our Review

Vegetarians and vegans: Since B-12 is primarily found in animal products, these dietary choices may lead to deficiency

Within 5 to 8 days after the dose, the infants experienced significantly increased hemoglobin and reticulocyte counts, normoblastic erythropoiesis, improved mental status, regression of abnormal skin pigmentation, and reduction in tremors.[9] Three hundred sixty-six pregnant women in India received 50 mcg of oral vitamin B 12 or placebo capsules once daily beginning during their first trimester of pregnancy and continuing until 6 weeks postpartum

The community-accessible analogue is subcutaneous reconstituted injection from a lyophilized vial