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Bacteriostatic water is sterile water for injection that contains a preservative most commonly 0.9% benzyl alcohol which inhibits bacterial growth and permits a vial to be accessed on multiple occasions

However, someone with decreased intrinsic factor may have symptoms of milder B12 deficiency long before pernicious anemia.[ref] The time to act is long before your body develops full-blown anemia

Vitamin B12 injections 5,000mcg each week

People who have had stomach or intestinal surgery may also absorb B12 poorly

Work with healthcare providers to monitor metabolic markers (HbA1c, lipids, liver function) throughout the protocol