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When to seek medical advice Those on restricted diet, or have had gastric bypass surgery, and those who are pregnant or with certain health conditions may be at more risk of B12 deficiency to be confirmed by a blood test

Gradual adjustments may help: reduce nausea or digestive discomfort improve medication tolerance support consistent progress allow individualized dose optimization Increasing too quickly may increase the likelihood of digestive symptoms, which is why gradual progression is commonly recommended

Let your doctor know if you are taking any other medications like antihypertensives, antibiotics, or medicines for heart disease or bone disorders

If none of these options are available and the medication has been at room temperature for more than 24 hours, plan to get a replacement vial once services are restored