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Notes that high-dose niacin passes into breast milk and that lipid-altering doses could pose risks to nursing infants, recommending caution or avoidance of such doses during breastfeeding)
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Monitoring Response to B12 Injection Therapy Checking how well Vitamin B12 injections work involves looking at lab results and how the patient feels
This includes vegans and vegetarians (as B12 is primarily found in animal products), the elderly, people with gastrointestinal issues such as coeliac or Crohns disease, and individuals who have undergone gastric surgery
These effects are particularly noticeable in individuals with a B12 deficiency or conditions like chronic fatigue syndrome or anemia, where long-term treatment can significantly improve quality of life
Conservative measures including splinting have failed
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