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Its use is not recommended in patients with chronic malabsorption syndrome, cholestasis, or in pregnant and breastfeeding women

But if the deficiency is caused by an irreversible inability to absorb the vitamin, a lifelong treatment with pharmacological doses of B12 is needed

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Legal and industry stakes Beyond advertising, AB 1990 would require pharmacies to keep detailed sourcing records and qualitycontrol documentation and to make those files quickly available to regulators