We believe this approach allows for flexibility so that diverse ED layouts and workflows can be accommodated when hospitals implement the measure while also ensuring that patients' privacy is respected
Sometimes, B12 deficiency triggers gastrointestinal symptoms, such as appetite loss, sore tongue and mouth, stomach discomfort, heartburn, nausea and even vomiting (Sobczyska-Malefora et al., 2021)
Dose calculations for these protocols follow the same principles
[1] For this reason, it might be advised to remain in the clinic for 10-15 minutes after the first injection to ensure you dont react
It requires meticulous attention to detail, a deep understanding of the mechanisms at play, and an unshakeable commitment to quality at every step
For therapy monitoring: A decreasing MMA level after starting B12 treatment confirms that the therapy is working and that the vitamin is reaching the cells