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The standard prescription starts with an initial intramuscular dose

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The medication is administered intramuscularly in a controlled setting using a pharmacy-grade product

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Hempill-Bryant explains that babies born to B12 deficient mothers will also be deficient in B12, especially if they are then exclusively breastfed. A study in the Journal of Child Neurology found that the most severe cases of B12 deficiency can lead to weakness, failure to thrive, afebrile seizure, developmental delay, nystagmus, tremors, and involuntary movement among young babies