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While generally safe, certain individuals should avoid AOD-9604, including: Pregnant or breastfeeding women Due to limited safety data

It may cause anemia, characterized by fatigue, weakness, and pale skin due to a lack of healthy red blood cells

Vitamin B12 Injection for Dogs Cats and Livestock

Companies with these practices face lower regulatory risk

These include: Meat Fish Poultry Milk Eggs Fortified breakfast cereals Fortified breads Fortified nutritional yeasts Fortified plant milks If you follow a vegan diet (meaning you don't eat any animal products, including meat, milk, cheese, and eggs) or you're a vegetarian who doesn't eat enough eggs or dairy products, you could be lacking in vitamin B12

They advocate for a treatment approach that is: Symptom-led : Recognising that many patients become symptomatic well before their next scheduled dose, meaning they are being under-treated