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However, B12 levels can rise regardless of whether treatment is effective

[13] If you experience any suspected side effects from a B12 supplement or medicine, you can report this via the MHRA Yellow Card Scheme (yellowcard.mhra.gov.uk)

Vitamin B12 is available as a dedicated add-on, meaning it can be incorporated into any IV cocktail on the menu

If someone has a history of multiple bouts of antibiotics before two years old, we might be looking at okay, maybe there was some long standing dysbiosis that began in early childhood and then maybe there were a couple of rounds of food poisoning

We might suggest starting with 2,000-5,000 mcg injections to help with severe symptoms