Tell your doctor about all your muscle or nerve conditions, such as ALS or Lou Gehrigs disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects, including difficulty swallowing and difficulty breathing from typical doses of BOTOX
If supplements are the cause, reducing or stopping supplementation is the only step needed
To reduce the risk of infection, wash your hands thoroughly with soap and water
Methylmalonic acid is especially helpful when standard B12 levels appear falsely elevated but symptoms remain
If you follow one of these diets, you may want to get your vitamin B12 levels checked, especially if youve noticed poor hair growth, hair thinning, or increased hair loss
Do not try to "catch up" by injecting more