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A diet rich in animal products, fortified foods, nutritional yeast, and supplements helps maintain adequate B12 levels

Confirmatory diagnostic studies should be performed prior to initiating therapy, if possible, and the patient should be followed with appropriate studies to demonstrate hematologic improvement (Hgb, hematocrit, RBC, reticulocyte count)

Since B12 helps convert food into fuel, correcting a deficiency can reduce fatigue, making it easier to stay active, exercise regularly, and burn more calories

Use new sterile insulin syringes for each injection

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Injections are usually given in the form of Hydroxocobalamin, a synthetic version of B12