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Step 2: Lab tests (If required) Your healthcare provider may recommend laboratory tests, such as blood sugar levels, glycated hemoglobin levels (HbA1c), and liver, kidney, and thyroid function tests to determine whether this medication is safe for you

Drop back to the previous dose and attempt escalation again after an additional 2-4 weeks

The Clostridium botulinum bacteria that produce Botox can cause botulism, a serious nervous system disorder that affects breathing

Generally speaking, taking vitamin B12 is very safe, as any excess is excreted in the urine

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Injections, while requiring a bit more commitment and potentially a visit to a healthcare provider, offer a fast-acting and highly bioavailable B12 source