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pre- and post-operative treatment, when requirements are increased as in fever, severe burns, increased metabolism, pregnancy, gastrointestinal disorders interfering with intake or absorption of vitamins, prolonged or wasting diseases, alcoholism and where other deficiencies exist

For mild deficiencies or maintenance, oral B12 supplements or tablets may sometimes be appropriate and can often be purchased elsewhere

In rare cases, more significant concerns may occur, which is why consultation and proper guidance are important

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