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I personally do not like to see vitamin B12 in pregnancy drop below 300 pg/mL

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But the private gp Ive seen, has said its fine and to carry on

CD38 Expression and Complement Inhibitors Affect Response and Resistance to Daratumumab Therapy in Myeloma

B12 supplementation is meant to support energy production for those who are deficient, which can include those taking tirzepatide

Taking a B12 supplement such as Metabolics Tri B12 liquid can be advantageous over relying solely on food sources due to the complexities of B12 absorption in the body