For example, if your Hb is low, and your MCV is raised, and then put on B12, and the Hb rises and MCV falls, there's the answer
Below is a clinicians view of who actually needs B12 injections, how often, what the NHS will and will not do for you, and what we check before we book the first shot
Contamination is not always visible
Routine rechecking of serum B12 levels is not generally recommended for patients on regular injections as levels will be artificially high
Common IGF-1 LR3 SubQ dose context (research planning, not clinical guidance) Phase Assessment Daily dose 20 mcg/day Frequency Once daily Notes Used to gauge tolerance and hypoglycemic response
If you have pernicious anemia, any kind of digestive condition, or you've had gastric surgery, your gut may not absorb B12 the way it should