Bulk Refills for Established Patients Once you're on maintenance dose, refill at higher vial sizes for fewer reorders
1,2 Although not clinically validated or available for widespread use, measurement of holotranscobalamin, the metabolically active form of vitamin B 12 , is an emerging method of detecting deficiency
Common side effects associated with B12 supplementation include: Local injection site reactions (for intramuscular preparations): Pain, redness, or swelling at the injection site Mild bruising or tenderness Itching localised to the injection area These reactions are usually self-limiting and resolve within 2448 hours
Your doctor will consider these things to decide on the best dose for you
A lot of people are mildly deficient without realizing it especially if they eat limited meat or have digestive absorption issues
Keeping your head liftd is another simple trick that makes a big difference