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A few commenters requested that we delay enforcement of the proposed requirements, rather than delay the implementation date

Per BSH guidance, parenteral B12 treatment should be initiated promptly to prevent irreversible neurological damage

Normalization of plasma vitamin B12 concentration by intranasal hydroxocobalamin in vitamin B12deficient patients

The B vitamins (and their names) are: - B1 Thiamine - B2 - Riboflavin - B3 Niacin - B5 Pantothenic acid - B6 Pyridoxal 5-phosphate - B7 Biotin - B9 Folate - B12 Cobalamin While each B vitamin plays a variety of important roles, vitamin B12 is critically important for three key physiological processes [1]: - Central nervous system development, protection, and function - Healthy formation of red blood cells - DNA synthesis Despite being indispensable for some essential functions, the human body doesnt make vitamin B12 on its own

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Since they mimic the bodys natural signaling molecules, they tend to have fewer side effects compared to synthetic drugs or steroids