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If you are struggling with B12 deficiency, consulting a registered dietitian is also a good idea, as they offer tailored guidance on the appropriate form and dosage

The doctor who prescribed it told me this would be for the rest of my life to prevent cancer

This "paradoxical response" (where treatment temporarily makes symptoms worse) includes: Numbness and tingling Shooting pains Joint pain Increased sensitivity Temporary inflammation (swelling and irritation) While these symptoms generally indicate that treatment is working (as nerves begin to repair themselves), they can be distressing for patients and may require additional treatment for comfort

in other words, they follow a cyclical pattern

Your prescriber translates that background into a plan calibrated to the exact formulation you were dispensed and the goals you are working toward