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How to Minimise the Risk of Side Effects To reduce the risk of side effects, ensure that: The injections are performed by an experienced professional

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An elevated methylmalonic acid (MMA) level has been thought to be the most direct, metabolic indicator of B12 deficiency because B12 is the only cofactor required by the enzyme that degrades MMA

If your schedule is urgent or you are close to running out, contact a healthcare professional rather than relying on shipping timing to start or continue treatment

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