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Seniors using our geriatric medical services sometimes find that injections help maintain healthy levels when a deficiency is confirmed
However, patients with decompensated cirrhosischaracterized by complications such as ascites, variceal bleeding, or hepatic encephalopathyrequire careful individualized assessment, as clinical trial data in this population remains limited
If supplementation is responsible, your doctor may recommend reducing or stopping non-essential B12 intake, with repeat testing after an appropriate interval (typically 2-3 months, or longer if you've had recent injections or have kidney disease)
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