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Is it normal for symptoms to initially worsen before improving with B12 therapy

[2] Normal doses are considered safe in pregnancy

For use in anaemias resulting from Vitamin B12 deficiencies in horses, cattle, dogs and cats

Drug Interactions Food and Lifestyle Interactions No major food interactions, but balanced diet supports treatment Alcohol abuse may affect B12 levels and absorption Safety Recommendations Inform your doctor about all prescription, over-the-counter drugs, and supplements Monitor for neurological improvement or persistence of deficiency symptoms Regular blood tests may be needed for long-term therapy Avoid self-medication with high-dose vitamins without guidance Certified Content Dr