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We would consider supplements such as methyl-folate and methyl B12, the active forms of B vitamins

There is no research showing that taking well over the recommended daily or weekly amount of B12 can be unsafe or detrimental to your health, and an official upper tolerable intake level has yet to be established

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These measures may include adherence to a 24-hour liquid-only diet before the procedure, utilization of point-of-care gastric ultrasound to assess gastric contents when expertise is available, modification of anesthetic technique to incorporate aspiration-prevention strategies, or temporary postponement of elective procedures when risk factors are expected to improve with time