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Although taking these meds doesnt automatically equal deficiency, your doctor should keep an eye on your B12 levels, especially if youve been taking acid-blockers for longer than a year or metformin for more than four months, according to an article in the journal, American Family Physician (9)
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Intramuscular and subcutaneous are not interchangeable, and the needle follows the route
Some people with pernicious anemia can get enough B 12 into their systems by taking doses of 1 to 2 milligrams in pill form
The serum B12 level serves as the initial screening test, with values below 148 pmol/L generally indicating deficiency, and levels between 148221 pmol/L considered borderline
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