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Important things to consider for the rate of administration include: Watching the patients vital signs Changing the rate based on how the patient reacts Not giving it too fast to prevent bad reactions Emergency Protocols for Severe Deficiency For severe Vitamin B12 deficiency with neurological symptoms or severe anemia, emergency steps are needed

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Because B12 in its organic form comes from animal sources like fish, meat, eggs and dairy, vegans, vegetarians and people with nutrient deficient diets need B12 supplementation to meet minimal health requirements

DEXA is most accurate but least accessible