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Rotate sites : Don't inject the same spot twice in a row Needle : 29-31 gauge insulin syringe, 1/2 inch needle Common Beginner Mistakes to Avoid Starting too high : 2mg+ on week 1 = miserable GI sides
It is the most common side effect by a wide margin, and it typically follows a predictable pattern
Mutations affecting intrinsic factor production, transcobalamin transport, or cellular uptake can cause deficiency despite adequate dietary intake
Changs approach, allowing him to monitor progress and make adjustments as needed
At the same time, B12 insufficiency in the liver leads to shrinking of the intestinal cells and malabsorption of nutrients (including B12 itself), leading to a cycle of worsening B12 deficiency
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