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The FDA placed it on a Category 2 do-not-compound list in 2023 over impurity and immune-reaction concerns, so no licensed compounding pharmacy can prepare it either
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Anyone experiencing symptoms of deficiency particularly neurological symptoms should seek medical review promptly rather than relying solely on self-supplementation
With only a brief analysis of B12 requirements, they recommend vegetarians take a supplement of 250 g per day (Pawlak, 2013)
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