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It is recommended to build up vitamin B12 once a week for 3 weeks and keep it to once a month after that.

IGF-1 levels have been shown to be decreased in children with Meningococcal sepsis and more so in those for whom the infection was fatal [83]

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These symptoms aren't always due to vitamin B12-deficiency anaemia, but if you have them see your GP. Avoiding vitamin B12 deficiency Experts say adults aged 19 to 64 require around 1.5 micrograms a day of vitamin B12, and you should be able to get this through your diet