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This article will focus on the type of patients or medical conditions that may require the supplementation of vitamin B12 (see the table below).1-6 More importantly, it is necessary to recognize the reason that some of these patients require supplementation, including those using vitamin B12 in different dosage forms other than those to be taken by mouth

To prolong the effects of the extra boost, be sure to eat a well-balanced diet that includes fish, beef, liver, eggs, dairy, and foods fortified with B vitamins, and limit your consumption of alcohol

This often occurs in smokers, people with metabolic disease, heavy alcohol drinkers, as a side effect of certain prescription drugs, rheumatoid arthritis and impaired thyroid function

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Do not stop taking the medication even if your symptoms improve

Both scenarios are valid depending on the underlying health context