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You may also develop vitamin B12 deficiency if: Advertisement First, your healthcare provider will complete a thorough physical examination and ask questions about your medical history so they know if youve any other conditions that may increase your risk of vitamin B12 deficiency

For clients with confirmed deficiency, the NHS loading dose protocol involves injections every other day for two weeks, followed by maintenance doses every three months

Allowing the vial to reach room temperature for 15 to 20 minutes before drawing your dose reduces this substantially

I suffer Hashimoto's hypothyroidism and had terrible muscle pain, numbness in arms legs/hands and feet

MT-IIs central nervous-system side effects make it the wrong default