ISSN 1469-493X
Prioritize protein (0.7 to 1.0 grams per pound of target body weight), eat frequent small meals rather than large infrequent ones, limit high-fat foods during dose increases to reduce nausea, stay hydrated, and avoid alcohol (which worsens both GI side effects and calorie intake)
Normal B12 ranges typically fall between 200-900 pg/mL, though functional B12 status is better assessed by methylmalonic acid (MMA) and homocysteine levels
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Anyone with severe liver or kidney disease, pregnancy, breastfeeding, or known allergy to any ingredient
Maintain sterility, use it for a single patient, and discard it according to protocol, since the preparation and administration of injectable medications are clinical responsibilities for qualified healthcare professionals