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Avoid heavy or fatty meals 4 hours before bed

10.1073/pnas.78.5.2777 Proc Natl Acad Sci USA

REMEMBER there were only 20 patients alive at this point, probably barely alive and unable to cause problems

however, no maternal or fetal complications have been associated with doses that are recommended during pregnancy, and appropriate treatment should not be withheld from pregnant women with vitamin B12 responsive anemias

This is generally not concerning unless levels are extraordinarily high or there are other clinical concerns

The core objective is to reduce documentation drift, the gradual divergence of naming strings, identity fields, and baseline handling statements across different documents and teams over time