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Contact your GP for B12 testing if you have: Symptoms suggesting deficiency (persistent fatigue, pins and needles, memory problems, glossitis) Risk factors for deficiency (vegan diet, gastric surgery, long-term metformin or proton pump inhibitor use) [1] [4] Concerns about whether your current supplementation dose is appropriate Underlying conditions affecting B12 metabolism (kidney disease, liver disease) Unexplained high B12 levels on a blood test when not taking supplements Routine monitoring is essential for patients receiving therapeutic B12 injections
In severe cases 1 ampoule daily is given until the acute symptoms subside
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Ahmed One Health Mycology 1: 23-36 (2024)
The goal is always a concentration where your typical dose falls between 5 and 50 units on the syringe, the zone where measurement accuracy is highest
It had completely healed
