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Regular injections can restore red blood cell levels, alleviating related symptoms such as weakness and dizziness

When someone is genuinely deficient, or even borderline low, the difference can be quite remarkable

A provider needs to know if symptoms become severe, if dehydration is developing, if abdominal pain raises concern for pancreatitis, or if there are signs suggesting the medication is not being tolerated properly

MTR (methionine synthase) and MTRR (methionine synthase reductase) code for two enzymes that work together in the methylation cycle

The FDA prescribing information includes important contraindications and warnings

However, there may be other factors contributing to anemia and/or low B12 levels, so its important to have a full assessment with a healthcare practitioner