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[1] [6] However, injectable therapy remains the first-line treatment in UK practice for pernicious anaemia and severe deficiency, as it bypasses absorption issues entirely

The main risks of taking hydralazine during pregnancy are uncomfortable side effects

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These labs allow detection of pre-existing contraindications (impaired kidney or liver function, subclinical thyroid dysfunction) and provide reference values for interval monitoring during the protocol

Do not discontinue prescribed B12 treatment without medical guidance , particularly if it has been recommended to address confirmed deficiency