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Under this regime, patients will experience: -minimal expansion in bone marrow normal growth and increased physical energy no or delayed enlargement of the spleen However, chronic transfusion exposes the patient to various risks, principally to iron overload, allo-immunisation (reaction to the donated blood), and transmission of bacterial and viral infectious agents

Energy Metabolism: Vitamin B12 participates in the metabolism of carbohydrates, fats, and proteins, which are essential for energy production

Backeljauw PF, Underwood LE

B12 injections can be administered in different dosages depending on an individuals specific needs

Check with your carrier for your specific plan