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severe thiamine deficiency, while rare, can cause Wernickes encephalopathy in hyperemesis gravidarum, and inadequate B is associated with anemia and neurologic issues in the newborn

Some patients have described feelings of fatigue, body aches, or a sense of mental haze before they start noticing the improvements

Common Scenarios : Frequently used in routine B12 injections for maintenance therapy or for initial loading doses in patients with B12 deficiency

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