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Clinical assessment and full blood count showing macrocytic anaemia are also important, though neurological symptoms can occur without haematological changes

Compounded medications are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness, or quality

The reason why homocysteine is dangerous is because it damages cells and tissues of the arteries, triggers inflammatory reactions and enables cholesterol oxidation, which contributes to the build-up of atherosclerotic plaques the main culprits in cardiovascular disease (Kumar et al., 2017)

The choice depends on the patients specific needs and the doctors evaluation

For those with no known deficiencies or contraindications, vitamin B12 shots are often considered unnecessary and may not provide additional benefits
The study used databases at the Toronto-based Institute for Clinical Evaluative Sciences to review the patient records of 146,850 residents of the province aged 65 or over who were prescribed regular vitamin B12 shot between January 2011 and October 2015
