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Higher doses (particularly 54 mg) showed somewhat increased gastrointestinal symptoms compared to lower doses
or triacylglycerides, TAG)
The starting dose for severe deficiency is typically 1500mcg (the full dose of the 1ml vial) given daily or on alternate days for 1 to 2 weeks, or until haematological remission is achieved
Children undergoing chemotherapy treatment are particularly vulnerable in this regard
Supplements may be suitable for some people, especially where intake is diet-related
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