Titration: There is generally no need for upward titration with B-complex vitamins as one might do with certain drugs, but if a patient is frail or known to react to injections, the provider may choose to start at a lower dose (for example 0.25-0.5 mL) and then increase to 1 mL as tolerated
Most labs use a normal range of 200-1200 ng/mL, but reversible symptoms of deficiency can be seen in patients whose blood levels fall within this range
Day after B12 injection Ive recently had a b12 injection at my docs and the following day I felt absolutely knackered
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