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[16] [44] Women who consume little animal-sourced food, or who are vegetarian or vegan, are at higher risk of becoming vitamin depleted during pregnancy than those who consume more animal products

Long-term untreated vegan diet where deficiency has progressed beyond what oral replacement can comfortably catch up

Elderly patients may be more sensitive to the medications effects and may require slower titration or lower maintenance doses, particularly if they have reduced renal function or are at higher risk for dehydration from gastrointestinal adverse effects

These include: Individuals with pernicious anemia , a condition that causes their bodies to be unable to adequately absorb vitamin B12

8-12 weeks

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