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It is recommended to check Hematocrit, reticulocyte count, vitamin B12, folate, and iron levels before treatment begins

It may have nothing to do with the B12 itself

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By delivering vitamin B12 directly into the bloodstream, injections bypass the digestive system, ensuring optimal absorption and faster benefits

I'm in the US and seems the loading dose protocol here is unfortunately less aggressive

Drivers who are over the age of 21 (the legal drinking age in the US), who have a BAC equal to or greater than 0.08%, can face penalties