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Monitor for any new side effects that emerge at the higher dose

The symptoms that should be watched for if you are developing vitamin B12 deficiency often come on slowly, and gradually, but over time will intensify

Vial-to-vial purity, sterility, and accuracy of stated mass vary by supplier

Virtual consultations are also available your provider will determine the appropriate protocol before any prescription is written

Should cobalamin supplementation be considered

When any of those slips, the result is usually minor and short-lived, but it is worth understanding what can actually go wrong, and why we think this is a job for a clinician rather than a kitchen-table DIY