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Description
Plasma concentration below 200 pg/ml (148 pmol/L) is considered deficient

Without ongoing B12 replacement, deficiency and symptoms will typically recur within months to years of discontinuation

Here's the most important part: Do not inject the water directly onto the lyophilized powder

Over-the-counter oral antihistamines can help with itching, and a cool compress reduces heat and swelling
This injection includes the Biological active form of B12 (Methylcobalamin) for quick energy

Metformin has also been shown to inhibit the calcium-dependent absorption of the vitamin B12IF complex at the terminal ileum
