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However, for patients without a true vitamin B12 deficiency, research shows that B12 injections are unlikely to boost energy or reduce fatigue

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Cautious use of parenteral cyanocobalamin is also recommended in patients with renal impairment, including premature neonates, because of the possibility of greater aluminum accumulation, which may cause central nervous system and bone toxicity

35 The screening system includes age-appropriate questionnaires for every 2/3-month intervals

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