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Intravenous B12 therapy is used in certain cases
This impairment of DNA synthesis affects the rapidly dividing cells of the bone marrow earlier than other cells, resulting in the production of large, immature, hemoglobin-poor red blood cells (macrocytosis), as well as effects on white blood cells, including abnormal (hypersegmented) neutrophils and reduced overall cell counts (pancytopenia)
Treatment reduces hepatic triglyceride content by more than 30%, normalizes transaminase levels, and markedly alleviates hepatic steatosis
Avoid B12 unless tested and cleared The risk of clot formation increases 4
Injection Site Reactions: Pain, redness, swelling, or tenderness at the site where the injection was given
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