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Over time, even very effective vaccines wane in terms of how effective they are, said Judy Platt, chair of BUs Medical Advisory Group, cochair of the Vaccine Preparedness Group, and Student Health Services director, at the recent BU-wide town hall meeting August 19

Key considerations include: Single vs

Lyophilized vials contain a white or off-white powder cake or loose powder at the bottom of the vial

23 Supplementation of 1 mg daily is recommended for patients with specific risk factors (e.g., bariatric/gastric surgery patients, those with severe malnutrition, chronic alcohol use, chronic hemolytic anemia and conditions with high cell turnover, and use of antimetabolite medications such as methotrexate)

In both cases, each shot provides far more vitamin B12 than what the body needs

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