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It doesn't require specific timing relative to meals, though many researchers administer it on a consistent weekly schedule (e.g., every Sunday evening) to simplify adherence tracking
Pale Skin and Shortness of Breath People with a B12 deficiency may develop pale skin due to a decrease in red blood cell production, which can also lead to feelings of shortness of breath
The BSH took on board what we had to say and issued a new guideline that is a much better approach for patients and medical professionals during the current lock-down