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Thank you for the helpful tutorial video

Checking B12 levels often and using supplements like B12 shots or high-dose pills can prevent these problems

Frequency depends on your baseline B12 status and your goals

(2018) Efficacy of oral versus intramuscular vitamin B12 supplementation following Roux-en-Y Gastric Bypass, a randomized controlled trial

In the absence of impaired kidney function, an elevated MMA level in conjunction with elevated homocysteine suggests either a vitamin B 12 deficiency or a combined vitamin B 12 and folate deficiency (32)

Only your doctor can decide the appropriate injection schedule for you after assessing your condition and reviewing your medical history and laboratory results