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It is worth noting that isolated, mildly elevated B12 in an otherwise well person taking supplements typically requires no urgent action beyond stopping non-prescribed supplementation and rechecking levels after an appropriate interval (usually 8-12 weeks)

It may also appear in form of breathing trouble, dizziness, or swelling

Pregnant and breastfeeding individuals have increased requirements for many B vitamins, and indeed these vitamins are routinely included in prenatal supplements

Such a system is clearly essential for basic education in developing countries, which are obliged to strike a balance between too general a transmission service and too specialized local resources