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On the other hand, photolysis in the presence of only a trace of oxygen is slow and yields vitamin B12, formaldehyde, methane, and ethane

These pregnant women were taking vitamin B12 supplements above the current recommended B12 does for pregnancy and with widespread B12 supplement use

28 People often continue to experience mild neurological symptoms such as poor memory, impaired concentration, and fatigue even after adequate B 12 replacement (eg, therapy according to the BNF suggested treatment regimen) 9 17 29 and many patients report they need additional treatment

or (b) rely on functional status items not collected in all settings (for instance, the Discharge Mobility and Self-Care Score measures rely on items not collected in LTCHs)

Appendix G: Taking Vitamin B12 With or Without Food Stephen Walsh summarizes the evidence from four papers on B12 absorption (Doets, 2012