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Furthermore, most monitoring guidelines, including both the MHRA in the UK [9] and the ADA [33], suggest the need for periodic vitamin B 12 monitoring but do not provide a monitoring frequency, which probably leads to lack of monitoring

More specialized markers such as methylmalonic acid or homocysteine, which can clarify borderline cases, also take weeks to shift
Conclusion: B12 Injections as Part of Your Athletic Wellness Strategy B12 injections for athletes occupy a unique space between proven medical treatment and overhyped performance aid

You may be misdiagnosed because the symptoms (tiredness, dizziness, tingling in hands and feet) can be symptoms of other illnesses too
