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Without testing, there is no way to distinguish between B12 deficiency and other causes of similar symptoms, no way to determine the severity of deficiency, and no way to select the most appropriate delivery method

Get to an emergency room immediately if you experience: sudden loss of bladder or bowel control, sudden severe weakness in both legs, saddle anesthesia (numbness in the area that would touch a saddle), or sudden severe weakness or numbness in both arms

Abstaining from alcohol could help the vaccine do its best at promoting an effective antibody response and protecting you from infection throughout the pandemic

Problem: you should have escalated to 4mg at week 5, 8mg at week 9, and potentially 12mg at week 13