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A minor deficiency might not manifest any symptoms

Split dosing may help if: single morning dose produces effects that fade by afternoon, you are using higher doses (450-500mcg) where sustained levels may help, or evening administration fits your schedule better than early morning

You could search online for "B12 deficiency cardiac symptoms" if you want more info

Dosage Adjustments and Increased Monitoring Elderly individuals may require dosage modifications due to decreased organ function levels, which need monitoring along with blood counts for detection of any adverse effects to ensure effective treatment while considering potential side effects in this vulnerable group carefully

Are vitamin B12 injections safe