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Infants have the most common symptoms of B 12 deficiency like feeding difficulties, seizures, growth retardation, megaloblastic anemia, developmental delay, hypotonia, microcephaly, lethargy, involuntary movements, irritability, and cerebral atrophy

Conditions affecting the stomach or intestines that interfere with the absorption of vitamin B12, such as malabsorption syndromes and tropical sprue

Subsequent straining to defecate can cause rectal prolapse

[1] [6] As a compounded product, the dosing regimen may be tailored to each patients requirements, and adjustments may be made based on clinical response and tolerability

Frequency: Usually given intramuscularly, ranging from daily to weekly injections

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