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Once the level of B12 has returned to a healthy amount, the patient may reduce the B12 injections to once a month and continue to be monitored through blood work

For some of these design paths, achieving the desired reduction of potable water use comes with some potential side effects and new challenges that must be evaluated and addressed

Draw slightly more than your target dose (if dosing 50mcg, draw 5560mcg), then expel the excess back into the vial while holding the syringe vertically with the needle pointing up

Gastrointestinal side effects from B12 supplements are typically mild, transient, and often related to inactive ingredients rather than the vitamin itself