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9 In light of these findings, long-term use of these medications should be periodically reassessed, particularly in patients with other risk factors for vitamin B 12 deficiency

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A deficiency invitamin B12can lead to various health problems, ranging fromfatigueto permanent neurological changes

By educating patients about benefits, honestly disclosing risks, screening for contraindications, and documenting everything clearly, you build trust, ensure safety, and create a defensible record if questions ever arise

In the 50s, when chemotherapy wasnt yet available, massive doses of B12 shots were given to children with a neuroblastoma tumor every two days, for 2-3 years with great success: NEUROBLASTOMA: AN EVALUATION OF ITS NATURAL HISTORY AND EFFECTS OF THERAPY, WITH PARTICULAR REFERENCE TO TREATMENT BY MASSIVE DOSES OF VITAMIN B12