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Regular check-ins with your prescribing physician are important to evaluate results and decide whether to continue, adjust, or stop
In addition, if a patients clinical situation strongly suggests vitamin B12 deficiency (eg, based on characteristic neurologic abnormalities), MMA or fasting homocysteine levels should be determined, even if the lab reports a normal or even high vitamin B12 level
Doses are tailored
The diluent type selection (bacteriostatic water or sterile water) is for labelling purposes only and doesnt affect the calculation
Shaking can shear and destroy the peptide chains
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