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A: It should be used when cattle show signs of methylcobalamin deficiency, under veterinary advice, to support metabolic health and energy production

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The dosage is then increased gradually to achieve the desired weight loss and appetite suppression

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There are other large RCTs where similarly high doses of vitamin B 12 have been given together with other micronutrients.31 32 These studies found that the micronutrient mixture that included high doses of vitamin B 12 reduced the risk for small for gestational age (SGA) with no adverse effects

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