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These symptoms are not specific to B12 deficiency, so persistent tiredness, tingling or balance problems should be checked rather than assumed to be a simple vitamin problem
Several key factors play a role in how often youll benefit from treatment
Not sure it would occur that fast, but they seemed to brush it off so I doubt it would prevent you from getting a second dose, assuming you have educated medical personnel administering the dose and that you did not have anaphylaxis with the first dose
If you run a small or midsize clinic, dont overlook the power of good documentation workflows, credential maintenance, and expert medical coding
Both metformin and the PPI (omeprazole) can contribute to B12 deficiency
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