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If youre vegan, its generally recommended to consider taking supplements since it can be difficult to get enough vitamin B12 from a vegan diet [26]

Coverage Code D violation: Special coverage instructions not met (e.g., insulin self-administered at home, not billed under a covered clinical encounter)

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If reticulocytes have not increased after treatment or if reticulocyte counts do not continue at least twice normal as long as the hematocrit is less than 35%, diagnosis or treatment should be reevaluated

Side effects [edit] The literature data on the acute toxicity profile of hydroxocobalamin show it is generally regarded as safe with local and systemic exposure