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Folate alone can improve blood findings while B12-related nerve injury continues, so diagnosis and follow-up are important before changing products or adding supplements

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Medina-Lezama J, Zea-Diaz H, Morey-Vargas OL, Bolaos-Salazar JF, Muoz-Atahualpa E, Postigo-MacDowall M, Corrales-Medina F, Valdivia-Ascua Z, Cuba-Bustinza C, Paredes-Daz S, Villalobos-Tapia P, Chirinos-Pacheco J, Goldberg RB, Chirinos JA

The 25G x 5/8" needles are the appropriate size and length for subcutaneous administration

To sum up, some patients report the worsening of symptoms within the first few days or weeks when they begin B12 shots