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While these are population-level numbers, the principle applies to individuals as well: routine injection visits for non-deficient patients add up in copays, travel time, and appointment scheduling without delivering additional benefit

After a full cycle, take a 4-week break before resuming

Whether you get regular injections or take supplements by mouth, you should talk to a doctor or nurse to determine the best plan

What an elevated serum B12 represents, and why no single threshold exists A serum B12 reflects vitamin bound to transport proteins in the blood, not the amount that has reached the tissues, and the threshold for calling it high shifts with the assay, the laboratory, reference interval, and the unit on the report

Get it wrong and you are either injecting too much liquid per dose or struggling to measure tiny fractions of a milliliter on a standard insulin syringe