The vitamin b12 deficiency symptoms that should prompt urgent referral rather than a wellness injection are neurological: paraesthesia, unsteady gait, memory or mood changes
Draw and inject them separately, even if you administer them at similar times
23 Supplementation of 1 mg daily is recommended for patients with specific risk factors (e.g., bariatric/gastric surgery patients, those with severe malnutrition, chronic alcohol use, chronic hemolytic anemia and conditions with high cell turnover, and use of antimetabolite medications such as methotrexate)
Parasites and malabsorption
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