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Clinical laboratories generally define vitamin B12 deficiency as a serum level below 148 pmol/L (approximately 200 pg/mL)

Support with appropriate thyroid hormones

Neurological Symptoms Several Weeks to Months If you have tingling, numbness in your hands or feet, or balance problems caused by B12 deficiency, these symptoms take longer to improve

Since compounding pharmacies create custom mixtures, the expiration dates for these versions are often sooner due to less extensive testing and unique preparation methods

Nitrous oxide prevents your body from absorbing B12