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Children presenting neurological signs or symptoms, those unable to take oral medication, individuals with known malabsorption syndromes, infants under 6 months old, and patients using medications that may interfere with vitamin B12 absorption are typically treated with a parenteral protocol (1)

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Furthermore, platinum-based drugs elevate ROS levels that promote PCD

Quick Answer: Patients on Zepbound should consider individualized vitamin supplementation based on dietary intake and laboratory results, typically including a standard multivitamin, with particular attention to vitamin B12, vitamin D, thiamine, and folate as needed