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Patients are advised to include: Liver, chicken, and other meats Fish such as salmon and tuna Eggs and dairy products Fortified cereals and nutritional yeast for vegetarians Vitamin B12 Supplements Supplementation is often required and may include: Oral tablets Sublingual drops Nasal sprays Injections for severe or absorption-related deficiencies Vitamin B12 Deficiency Medication In conditions like pernicious anaemia, long-term or lifelong treatment (often injections) may be necessary, with frequency adjusted based on severity

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doi: 10.3389/fcell.2023.1146971 46 ZhangDYiSCaiBWangZChenMZhengZet al