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In extreme cases, untreated deficiency may lead to heart problems and permanent disability

found only in foods of animal origin Foods that are high in vitamin B 12 (g/100g) include: Liver (2658) Beef and lamb (13 Chicken (trace) Eggs (12.5) Dairy foods (0.32.4) In normal humans the absorption of vitamin B 12 from foods has been shown to vary depending on the quantity and type of protein consumed

Vials still chilled on arrival despite a 3-day route

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The standard NHS protocol for B12 deficiency typically involves hydroxocobalamin 1mg intramuscularly three times a week for two weeks (if there's no neurological involvement) or on alternate days until no further improvement (if neurological symptoms are present)