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Interruption of this so-called enterohepatic circulation of vitamin B 12 causes the body to go into a significant negative balance for the vitamin

Keeping a close eye on how the patient is doing is key to adjusting the treatment as needed

For B12 injections, gauges between 22 and 27 are typically used

But if the patient brought in their own medication then all things would change

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Symptoms of vitamin B12 deficiency Some of the symptoms that can be caused by a lack of vitamin B12 include: Poor appetite Anemia Fatigue Weakness Numbness or tingling in the hands or feet Difficulty with balance Vitamin B12 deficiency can also contribute to depression, cognitive impairment, and dementia