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( 13 ) Its also important to avoid unnecessary supplementation

The thing we have to keep in mind when treating b12 deficiency is that often times the symptoms have taken years to manifest and we may not see a noticeable change after 1-2 shots

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You should tailor a B12 supplement to meet your needs and not overdo it because the liver stores B12, and the kidneys send excess vitamin B12 out through urine

Further reading [edit] Wintrobe's Clinical Hematology Thirteenth Edition