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This dose is set to keep Vitamin B12 levels in the body after the initial doses fix the deficiency

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however, these medications often turn the acute inflammation and rapid progression of renal disease into chronic inflammation and slow, but do not stop, the still inevitable progression of end-stage renal disease

Yet B12 deficiency is remarkably common, affecting vegetarians, vegans, older adults, and anyone taking certain long-term medications like metformin or proton pump inhibitors

Beyond this period, the efficacy of the benzyl alcohol preservative may diminish, increasing the risk of microbial growth