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This is incredibly common in pediatric patients on liquid prescriptions, and the inactive flavoring ingredients are often the real culprit, not the active drug

One systematic review found that 3.6% to 17.1% of patients remained deficient 1 year after surgery despite receiving recommended supplementation (6)

The starting 0.25mg dose is 10 units

[DOI] [PMC free article] [PubMed] [Google Scholar] 91.Zivanovic-Posilovic G., Balenovic D., Barisic I., Strinic D., Stambolija V., Udovicic M., Uzun S., Drmic D., Vlainic J., Bencic M.L., et al